Suggest Treatment For Leukocytoclastic Vasculitis And Hypothyroidism
I am a 41 year old woman 5 4 200lbs. I was diagnosed with hypertension and hypothyroidism 4 years ago. I also have sleep apnea. I have tried all classes of blood pressure medications and all cause a vasculitic rash. When I first started bp meds I would break out in a rash on my feet that spread up my body until I discontinued medication. After a biopsy I was diagnosed with Leukocytoclastic vasculitis. Only one medication does not break me out and that is mythldopa, but it causes my heart rate to drop into the 50 s and makes me extremely fatigued and I sleep up to 17 hours of the day. My bp normally runs 160/110 but for the last couple days has been around 199/128. I went to the ER and troponin levels were ok, lab work was ok, and chest xray was ok. I was told I didn t have to worry about my bp no matter how high it got because I was young by the ER doctor, even though I was experiencing shortness of breath, pain and numbness in my left arm and fingers and pain in my back. Should I just ignore my bp and symptoms? When should I worry. I am not currently taking any bp meds.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Mirjeta Guni, Endocrinologist
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Suggest Treatment For Leukocytoclastic Vasculitis And Hypothyroidism
Hello, No, you should not ignore the high blood pressure. In contrary, you need some blood tests to rule out secondary hypertension caused by hormonal overproduction mainly by adrenal glands. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mirjeta Guni, Endocrinologist