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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Palm Despite A Normal CRP Level?

My daughter is 10 years. She is suffering from pain in her left-hand palm and arch of her left foot. ESR, CRP are higher than normal. Pus cells in urine test are high also. Index of Lupus anticoagulant is 22.7 ANA is positive speckled 1:40 All other tests are good (TSH, anit-DNA, liver, chest, abdomen & pelvic sonography)
posted on Sat, 18 Mar 2017
Twitter Wed, 17 Jan 2018 Answered on
Twitter Wed, 17 Jan 2018 Last reviewed on
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Infectious Diseases Specialist,  's  Response
dear user

i would like to tell you that pain of the palm has some causes with different investigations needed

Most common reason is a mild sprain or injury or trauma that your daughter must have sustained somehow. The symptoms like inability to grip confirms that..you may need to do x ray test
hypocalcemia in this age is common cause and need serum calcium measurement

persistent palm pain can be due to cervical spine problems as nerve compression and need mri for investigation

also there is what is called tenosynovitis that increase feeling of pain of palms

less common causes as carpal tunnel can occur from thyroid disease, previous injury may lead to the same


wish your gaughter healthy life
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What Causes Pain In The Palm Despite A Normal CRP Level?

dear user i would like to tell you that pain of the palm has some causes with different investigations needed Most common reason is a mild sprain or injury or trauma that your daughter must have sustained somehow. The symptoms like inability to grip confirms that..you may need to do x ray test hypocalcemia in this age is common cause and need serum calcium measurement persistent palm pain can be due to cervical spine problems as nerve compression and need mri for investigation also there is what is called tenosynovitis that increase feeling of pain of palms less common causes as carpal tunnel can occur from thyroid disease, previous injury may lead to the same wish your gaughter healthy life