
What Do Swelling In Legs And Ankles Along With ESR Level Of 37 Suggest?



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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