What Causes Intermittent Pain In The Hand?
Possible Diagnosis: need to rule out Lyme arthritis
Detailed Answer:
Hello,
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Pain in joints that comes and goes, migratory to other joint raises the concern for Lyme arthritis, especially with the previous history of tick bite.
Test for Lyme arthritis can give false negative results. So I would recommend getting tested again with ELISA. If still negative, western blot testing, synovial fluid PCR analysis is needed.
X-ray of the affected joint, complete blood count, ESR, and Rheumatoid factor are also needed to rule our other kind of arthritis like osteoarthritis, rheumatoid arthritis etc.
If Lyme arthritis is confirmed, then you will require a longer duration of antibiotic therapy/ Intravenous antibiotic therapy.
Please be advised to follow up with your primary care provider for further evaluation and management.
Hope this answers your question
Please feel free to address further questions here
Regards
Dr.Lekshmi