What Do Swelling In Legs And Ankles Along With ESR Level Of 37 Suggest?
Thu, 25 Jun 2015
Answered on
Wed, 15 Jul 2015
Last reviewed on
Lupus needs to be ruled out.
Detailed Answer:
Dear Madam,
Thank you for posting your query on HCM.
Well looking into your problem I would like to tell you that there is a fair chance of you having lupus with all these tests that you have provided . In my opinion you should be evaluated more on this line.
Get your ANA done by IFA method , ENA profile , complement levels c3,c4 , Coombs test , lupus anticoagulant assay .
Atleast this much will be require minimally for lupus . Also what about your thyroid status that you havent mentioned , this also needs evaluation.
Please mention if you have history of recurrent oral ulceration , photosensitivity, recurrent abortions or raynauds phenomenon . Also any other history which you feel is significant please share so that we can help you out in best possoble way .
Take care.
Dr. Shruti
Follows.
Detailed Answer:
Dear Madam,
Thank you for reverting back.
In my opinion there is a fair chance of lupus , Anti dsDNA signifies kidney involvement in lupus but its negativity doesnt mean that you cant have lupus . You should see a good rheumatologist for the same . One of your cousins have SLE that means there is more of reason to evaluate so please pursue it further and discuss this with your treating doctor .
Dr. Shruti
Follows.
Detailed Answer:
Dear Madam,
Thats a good news that thyroid functions are fine , if you have any further queries let me know .
Dr. Shruti
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