What Is The Cause And Treatment For Malar Rash When Suffering From Lupus?
?/is it lupus
Detailed Answer:
Good evening.
Thank you for writing on health care magic
I have gone through your history and the pictures
Firstly I want to say not to get stressed. I understand the situation you are in. But we will try to sort it out together
As for the rashes I have seen, the ones on your face looks like malar rash. The one seen in lupus. You may have photosensitivity to it. While the rest of the rashes on the abdomen and legs are urticarial rashes. It can be an independent problem or it can be a part of lupus.
To diagnose lupus we need to have more symptoms like oral ulcers, hair fall, joint pains, abdominal pains or cough or difficulty in breathing along with the blood results. The routine blood tests like complete blood count, ESR, crp, liver and renal function tests, urine routine along with ANA ena and complement levels.
A combination of this gives us a diagnosis of lupus.
I would like you to let me know these queries.because the management will depend on the organs involved. As for the heart involvement it can happen in lupus but it is still rare. If ECG is fine you need not worry.
Await your reply
Regards
Dr naval
Is it LUPUS?
Detailed Answer:
Good evening XXXXXXX
Well I have gone through your photos. Sorry, I could not find the blood reports attached. If you could check into it, that would be great.
But you do have puffy fingers and swollen hands. I wonder, how can anyone ignore that especially in your age. All these symptoms do point towards a connective tissue disease. Since you have swelling in your ankles and knees as well, I would like to look into serum Albumin and considering a possibility of lupus, I would like to see if you are losing it out in urine.
But yes, I feel you need to be started on medications for the connective tissue disease. At least a moderate to low dose of steroids along with hydroxychloroquine would help in your case
If you get check into blood reports once, it would be helpful
Await your reply
Regards
Dr Naval
Thats all i can think of again my thanks and fingers crossed the documents come thru !
Sincerely XXXXXXX
?Is it lupus.
Detailed Answer:
Good evening XXXXXXX
Really sorry for the late reply. Just had a bad day going on. Finally getting it together.
I have gone through your pictures again. ANA is negative but the rashes you have are urticarial one. It can be either an independent thing known as urticarial vasculitis(if it is lasting more than 24 hours) or it can be a part of lupus. ANA negative does make the possibility of lupus less likely, but I would suggest you to repeat your levels once more and make sure it is done by Immunofluroscence Assay(IFA) since the accompanying symptoms you are having can be a part of connective tissue disease. If possible get ENA profile also done. So, if both are negative, at least we are sure that connective tissue disease is less of a possibility. Also just check if CPK levels have been done.
I still feel low dose steroids and Anti allergics will help your rashes and the overall disease. But yes your physician needs to be more convinced.
Do let me know for more queries.
I will be on time for sure :)
Regards
Dr Naval