Dear Dr.

I am presently 62 years old, having height 5' 8" and weight about 58kg. I have cronic problem of inflamation in soles and palms without any changes in the skin or any external appearnce. Warmness of palms and soles can be easily felt on touching other part of body. My medical examination tests results are also given for your kind consideration.



BRIEF STATUS OF MEDICAL CHECK-UP



Sr. No.     Date

Of Test     Test     Obtained Value     Normal Value      Remarks

1     17.07.2008     Weight     56 kg          

     08.05.2010     ,,     53.9 kg          Loss of weight by 2.1 kg in about 2 years

2     17.07.2008     Haemoglobin     14.4 g/dl     13 -18 (M)     

     23.10.2009     ,,     12.8          

     14.06.2010     ,,     13.4          After about 1 month of start of Livogen (Iron) tab one on alternate day

3          Lipid Profile               

3.1     23.10.2008     S. Cholestrol     146 mg%     150 -250     

     06.02.2009     ,, ,,     158     150 -250     

     24.09.2009     Cholestrol     142     130 – 220*     *Other test lab

     14.06.2010     Total Cholestrol     180.3 mg/dl     150 -250     

                         

3.2     23.10.2008     S Tryglycerides     110 mg%     60 - 150     

     06.02.2009          102          

     14.06.2010          84.6 mg/dl     Upto 150 mg/dl     

                         

3.3     23.10.2008     HDL Cholestrol     40 mg%     30 - 70     

     06.02.2009          50 mg%          

     14.06.2010     S HDL Cholestrol     51 mg/dl     35 - 70     

                         

3.4     23.10.2008     LDL Cholestrol     84 mg%     Upto -150     

     06.02.2009          87 mg%          

     14.06.2010     S LDL Cholestrol     112.38 mg/dl     
                         

4     14.06.2010     Glucose (Fasting)     70 mg/100ml     60 - 100     Sugar level was being monitored regularly and maintained through diet control only.

5.     14.06.2010     Urea Nitrogen (Fasting)     12.8 mg/100ml     5 -21     

6     14.06.2010     Cretine (Fasting)     0.8 mg/100ml     0.6 -1.4     

7     14.06.2010     Billirubin Total     1.8 mg/100ml     0.1 -0.8     

8     14.06.2010     Serum alk phos      66.0 U/L     0 - 115     

9     14.06.2010     SGPT     31.5 U/L     0 - 40     

                          

10.     14.06.2010     WBC(TotalCount)     6300 /cumm     4300 - 10800     

11     14.06.2010     Neutrophils     63 %     45 - 74     

12     14.06.2010     Lymphocytes     35 %     16 - 45     

13     14.06.2010     Eosinoplils     02 %      0 - 4     

14     08.05.2010     Bone Mineral Density (BMD)               

14.1          T-Score     0.7          

          Z -Score     1.7          



15     04.07.2010     Total Serum Bilirubin     0.89 mgm/dl     0.2 – 1.0 mgm/dl     * Sample taken after about 2Hrs of Break fast

** Test done in other lab

16     04.07.2010     Direct bilirubin     0.45 mgm/dl     Below 0.2 mgm/dl     ,,, ,,, ,,, ,,

     04.07.2010     Indirect Bilirubin     0.44 mgm/dl          ,,, ,,, ,,, ,,

     04.07.2010     SGPT     42 U/ml     0 – 40 U/ml of serum     ,,, ,,, ,,, ,,

     04.07.2010     SGOT     29 U/ml     0 – 40 U/ml of serum     ,,, ,,, ,,, ,,

                         



Note:

1.     BP maintained in the normal range with medicine one Losartan Tab IP 25mg per day.

2.     Other Medicine being taken i.e. Optineuron tab and Livogen tab one per day. Sometimes on alternate day.



Problems:



-     Gradual loss in weight /-Fat

-     Inflammation

-     Weakness, uneasiness, fatigue and not feeling very well.

-     

In view of above, please let me know the cause /s and treatment.

Thanking you,

Yours sincerely,

V. C. Goyal

e-mail: YYYY@YYYY