hello and welcome to HCM,
The symptoms that you have mentioned-
muscle weakness, eye lid twitching, small muscle spasms,
tingling sensation in hands and feet, mottled look of legs and cold/ pale blue feet are more suggestive of an
autoimmune disease.
It is evident from the history that you may be suffering from
mixed connective tissue diseases.
In autoimmune disease the antibodies are directed against one's own body.
Autoimmune diseases are more common in females in reproductive age group.
Autoimmune diseases are diagnosed by presence of antibodies in the serum.
You need to consult a physician (
rheumatologist preferably) for a clinical examination and investigations.
The are different antibodies specific for different connective tissue diseases.
If any of the antibody comes out to be positive, treatment has to be instituted.
Steroids are the mainstay of treatment in autoimmune diseases.
Steroids are not curative but prevent the progression and worsening of the disease.
Thanks and take care
Dr Shailja P Wahal