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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Serum Sickness. Hives On Knees And Hands, Pain In The Leg. Need A Diet

Hi my daughter was diagnosed w serum sickness about2 weeks ago. She was on prednisone for a week and a half! She initially had hives, swelling in hands, feet, knees. She couldn't walk at one point . She was finally better on Sun and then by Wed., her daycare called bc she couldn't walk and was having pain in her right leg, near joints. It is now fri. And I haven't seen her walk since then. Her Dr. Took blood to rule out anything else, but feels it is residual effects of the antibiotic she initially took that caused this. My question is have you seen similar cases like this? And can a certain diet help her? I really do not want her on steroid again
posted on Mon, 27 May 2013
Twitter Mon, 27 May 2013 Answered on
Twitter Tue, 28 May 2013 Last reviewed on
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General & Family Physician,  's  Response
Hi and thanks for the query,
It s absolutely necessary to have a clear diagnosis before proceeding with an appropriate treatment. What you describe looks like either having a serious allergic component or an inflammatory (arthritis) or autoimmune component. It might necessary to know exactly whether you have any past history of allergic reactions or family history of such reactions. Notions of fever , joint swelling in your past history or not.
I would suggest you consult a family physician. A complete blood count with an increase in Eosinophiles could point towards an allergic component. Raised white blood cells could indicate the presence of septic (infectious) arthritis. raised IgE levels could indicate an allergic component. Measuring the CrP, Erythrocyte sedimentation rate, rheumatoid factor , Anti Nuclear Antibodies (ANA) could be necessary to make an appropriate diagnosis and manage appropriately.
Thanks and best regards,
Luchuo, MD.
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Diagnosed With Serum Sickness. Hives On Knees And Hands, Pain In The Leg. Need A Diet

Hi and thanks for the query, It s absolutely necessary to have a clear diagnosis before proceeding with an appropriate treatment. What you describe looks like either having a serious allergic component or an inflammatory (arthritis) or autoimmune component. It might necessary to know exactly whether you have any past history of allergic reactions or family history of such reactions. Notions of fever , joint swelling in your past history or not. I would suggest you consult a family physician. A complete blood count with an increase in Eosinophiles could point towards an allergic component. Raised white blood cells could indicate the presence of septic (infectious) arthritis. raised IgE levels could indicate an allergic component. Measuring the CrP, Erythrocyte sedimentation rate, rheumatoid factor , Anti Nuclear Antibodies (ANA) could be necessary to make an appropriate diagnosis and manage appropriately. Thanks and best regards, Luchuo, MD.