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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sudden Weight Loss, Night Sweats And Relapsing Fever

I have loss of weight of six kilos , night sweats for three weeks and relapsing fevers . I had no recent travel and my chest X-rays did not show any tuberculosis. My doctor who did a screen found that I had a raised urinary beta2 micro globulin 0.44 (0.03-0.3) and also raised thyroid autoantibodies. My complete blood count and tumor markers were all normal . He feels that I could have autoimmune thyroiditis although he said my overall thyroid function was normal. He mentioned that the possibility of amyloidosis or multiple myeloma could not be excluded and recommends futher tests such as ultrasound of the thyroid, kidneys and a bone marrow biopsy. Do u have other suggestions?
Thu, 28 May 2020
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General & Family Physician,  's  Response
Hi,

All the important disorders have been ruled out.Raised urinary micro-globulin may indicate renal dysfunction. Based on your symptoms it is essential to do thyroid and renal tests. Hyperthyroidism is also an important cause of elevated beta 2 micro-globulin and weight loss.Following the above tests, bone marrow biopsy can be done if required.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Saranya Ramadoss, General & Family Physician
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Suggest Treatment For Sudden Weight Loss, Night Sweats And Relapsing Fever

Hi, All the important disorders have been ruled out.Raised urinary micro-globulin may indicate renal dysfunction. Based on your symptoms it is essential to do thyroid and renal tests. Hyperthyroidism is also an important cause of elevated beta 2 micro-globulin and weight loss.Following the above tests, bone marrow biopsy can be done if required. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician