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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain In Joints

Iam lian 30 years old and i had a fever for two days only and i had blood test showed very high ESR 34mm/hr and low WBC and HBG.HCT also very low lymphocyte and monocytes ... I complaine of bone , joints severe pain with round balls like around my elbows..
Tue, 28 Jul 2015
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case with diligence.

Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?
Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine?

When such patients come to our hospital I advise them blood test like RA factor, ACCP, HLA B27

Another possibility of leukemia/lymphoma.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care

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Suggest Treatment For Severe Pain In Joints

Hello, I have studied your case with diligence. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, ACCP, HLA B27 Another possibility of leukemia/lymphoma. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care