
What Causes Fatigue, Joint Pain And Rashes All Over The Body?

Joint pains with rashes
Detailed Answer:
Good evening
Thank you for writing on health care magic
Well, you seem to have some sort of autoimmune problem going on..Joint pains and swelling along with fatigue and rash, does give us a clue that there is some problem underneath going on, which is slowly surfacing...
I would like to ask you a few more queries to see where we are heading:
1. ANy history of oral ulcers /Hair fall?
2. ANy history of Dryness of the mouth or the eyes?
3. The joint swellings you had..Did it disappear itself or did you take some medicines?
4. Could you give me more details on the rash..The location of it ??If you could attach a picture it would be helpful
5. ANy history of weight loss or apetite loss??
6. The fever you mentioned..Was it high grade or low grade??
7. ANy blood tests done so far
Do let me know these queries. WOuld guide you further from here
REgards
Dr Naval


1. ANy history of oral ulcers /Hair fall? NO
2. ANy history of Dryness of the mouth or the eyes? Yes the eyes
3. The joint swellings you had..Did it disappear itself or did you take some medicines? It disappeared on its own took advil for pain relief during
4. Could you give me more details on the rash..The location of it ??If you could attach a picture it would be helpful- I have a picture. How do I get it to you?
5. ANy history of weight loss or apetite loss?? I have not felt that hungry this week
6. The fever you mentioned..Was it high grade or low grade?? low grade
7. ANy blood tests done so far, none
I found out how to upload the picture of the rash.The rash isn't that itchy and the is all over my entire body. I attached the picture of the rash on my chest. On mine shins it looks just as it does when I go skiing in a cold climate and my skin just extra dry. Last night I had a normal night, no night sweat. I forgot to mention when I was having the feverish feeling and night sweats I was also have bizarre dreams.I live in the Cayman islands and we do not have any Rheumatologist here, so advising me what blood test I should have done would help me identify my issues so I can get treatment. Also what you suspect it might be.
RAsh and further course
Detailed Answer:
Good evening
Sorry for the delayed reply..WAs out of town
I have seen the rash..It is maculopapular one which I feel we should go ahead and investigate..
As per your other history, there doesnt seem to be history suggestive of autoimmune disease, but joint pains , rashes could be the start of it. And especially with loss of appetite, there may be something going on within
I am advising you the following tests:
1. Complete Blood count
2. ESR, CRP, TSH
3. Liver function tests
4. CPK, LDH
5. REnal function tests
6. Urine routine
7. ANA( By immunofloroscence)
TAke some anti allergics for time being for the rashes...We need to figure out where things are going wrong
Regards
Dr Naval


Blood tests
Detailed Answer:
Good evening
Well, I am not too sure if you need Klaricid here.. I dont think antibiotic will make much difference...He has already added steroids for you and the results are better. So there is some form of inflammation going on...
I would suggest we get the blood tests done first..So that will give us a clearer picture on how long to continue the medicines...Otherwise, it is mostly hitting in the dark...
Do update me on the results
Regards
Dr naval


Further course
Detailed Answer:
Good evening
Sorry for the late reply..Had a long 24 hour shift
Well, the joint swelling and pain can be there even if rheumatoid factor is negative. It becomes a seronegative arthritis...one has to to document the joint swelling to say it arthritis...SO I still wont rule out the arthritis possibility..DO you know if he had run an ANA also??
If you could attach the results it would be helpful
Also, since we are in a doubt if it is arthritis or not..I would suggest you schedule an appointment with a rheumatologist, so he can examine your joints and rash and give us a clue on what we are dealing with. Secondly, if possible get an ultrasound of the joints which were swollen..To confirm if it is arthritis or something else we are dealing with
Await your reply
Regards
Dr naval

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