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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Would The Diagnosis Be Based On The Clinical Factors?

Hi, for many years I have been diagnosed with MS until recently. The neurologists says it s not ms, but some other kind of connective tissue disease. My c4 levels are low 19, my thyroperoxidaise level is 843, I have a small amount of immature granulocytes .07. I am extremely fatigued, hands arms, legs are very weak. I take levothyroxine and high cholesterol. My bad cholesterol is 196, my weight fluctuates 20 lbs up and down. I am having difficulty sleeping but yet extremely tired. Any suggestions?
Tue, 3 Oct 2017
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Neurologist 's  Response
Hello!

Welcome on Healthcaremagic!

I would like to review your brain MRI findings for a more professional opinion.
You should know that MS is an autoimmune disorder, which may coexist with other autoimmune disorders like thyroid dysfunction and connective tissue disorders.
Have you performed a spinal tap to check for the presence of oligoclonal bands? This would be another step in the diagnosis of MS.
From the other hand, I would also recommend performing a cervical and thoracic spine MRI study to be sure of MS diagnosis.
Steroid treatment may be needed considering your connective tissue disorder. A follow up with brain MRI to study the progression of those lesions is necessary too, before starting treatment for MS.

Hope you will find this answer helpful!
Kind regards, Dr. Aida
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What Would The Diagnosis Be Based On The Clinical Factors?

Hello! Welcome on Healthcaremagic! I would like to review your brain MRI findings for a more professional opinion. You should know that MS is an autoimmune disorder, which may coexist with other autoimmune disorders like thyroid dysfunction and connective tissue disorders. Have you performed a spinal tap to check for the presence of oligoclonal bands? This would be another step in the diagnosis of MS. From the other hand, I would also recommend performing a cervical and thoracic spine MRI study to be sure of MS diagnosis. Steroid treatment may be needed considering your connective tissue disorder. A follow up with brain MRI to study the progression of those lesions is necessary too, before starting treatment for MS. Hope you will find this answer helpful! Kind regards, Dr. Aida