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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lump On The Arm. Have Crohn's Disease. Taking Humira. Petechiae Spreading From Legs To Thighs. Are These Related?

I have a small lump the size of a half dollar in the bend of my arm. It is soft without any noticeable tenderness. I also have Crohn's disease which is under control with bi-weekly injections of humira. Also, petechia has developed on my lower legs, initially but has spread to my thighs. There are also several small red spots on my abdomen in the area of the waistband of my pants. Could any of these be related? I saw a NP this week. She did blood cultures, CBC which was all normal. YYYY@YYYY
Wed, 29 May 2013
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Gastroenterologist,  's  Response
Hello,
Thank you for contacting HCM with your quiery.
I am glad to hear that your Crohn's disease is
in remission with Humira therapy. I sincerely hope
you continue to do well. Unfortunately about 5% of
patients with Crohn's develop skin complications.
These include painful lumps called Erythema Nodosum
which affectes the shin, elbows and sometimes arms.
From your description , these may be present.
As for rash and petechia , these may be related to
certain vitamin deficiencies associated with malabsrption
from Crohn's. I am sure your doctors have advised you
to take supplemental Vit-D , Multiple vitamins etc. along
with a healthy diet. 1000 mg. of Vit-C daily would be
helpful. If you have not had a recent complete blood count,
get that along with a platelet count. Humira is associated
with serious infections ,fungal,T.B. etc. Also some types
of Lymhomas. I am sure your doctors have tested you
prior to starting Humira.
I wish you the very best.
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Lump On The Arm. Have Crohn's Disease. Taking Humira. Petechiae Spreading From Legs To Thighs. Are These Related?

Hello, Thank you for contacting HCM with your quiery. I am glad to hear that your Crohn s disease is in remission with Humira therapy. I sincerely hope you continue to do well. Unfortunately about 5% of patients with Crohn s develop skin complications. These include painful lumps called Erythema Nodosum which affectes the shin, elbows and sometimes arms. From your description , these may be present. As for rash and petechia , these may be related to certain vitamin deficiencies associated with malabsrption from Crohn s. I am sure your doctors have advised you to take supplemental Vit-D , Multiple vitamins etc. along with a healthy diet. 1000 mg. of Vit-C daily would be helpful. If you have not had a recent complete blood count, get that along with a platelet count. Humira is associated with serious infections ,fungal,T.B. etc. Also some types of Lymhomas. I am sure your doctors have tested you prior to starting Humira. I wish you the very best.