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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Consistent High Fever And Joint Pains, Bloody Urine, ANA Shows Homogenous Pattern. Help?

I am 23 years old female, with h/o fever since last 1 month and joint pains. i have been investigation with UTI and taken antibiotics for 5 days. The fever has subsided but I still have shoulder pain which is troubling me a lot. My ANA shows 3+ homogenous pattern. I was seen by a rheumatologist and was started with T Deflacort but which no much of relief. I now have bloody urine twice today. Please help me. (0000).
Mon, 29 Oct 2012
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Internal Medicine Specialist,  's  Response
Hi Barot,
Thanks for writing in to Healthcare Magic!
In the back drop of joint pain and ill-health with ANA positivity and now hematuria there is strong possibility of a connective tissue disorder related multi-system involvement and it has involved the kidneys badly.
You should review to you rheumatologist as soon as possible and get investigated. I think an ultrasound abdomen and a kidney biopsy would be required.
You can not wait for deflazacort to bring improvement because it is a dangerous condition.
If you have any further query please let me know I would try to answer it for you.
Wish you a great health!
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Consistent High Fever And Joint Pains, Bloody Urine, ANA Shows Homogenous Pattern. Help?

Hi Barot, Thanks for writing in to Healthcare Magic! In the back drop of joint pain and ill-health with ANA positivity and now hematuria there is strong possibility of a connective tissue disorder related multi-system involvement and it has involved the kidneys badly. You should review to you rheumatologist as soon as possible and get investigated. I think an ultrasound abdomen and a kidney biopsy would be required. You can not wait for deflazacort to bring improvement because it is a dangerous condition. If you have any further query please let me know I would try to answer it for you. Wish you a great health!