Hello!
Thank you for asking on HCM!
I understand your concern and would explain that your symptoms do not seem to be related to vasculits. It is a really long time for these symptoms and if it were vasculitis further complications would have occurred.
Your symptoms could be related to different causes:
1- Blood pressure drugs adverse effects. Are you taking any calcium channel blockers (amlodipine, nicardipine, etc.)? These class of antihypertensive drugs can cause leg swelling.
2-
Venous insufficiency in the lower limbs. A Doppler ultrasound of the leg vessels would help rule in/out this possibility.
3-
Polyneuropathy. A
nerve conduction study and a
neurologist consult would help investigate for this possible disorder.
Other causes to consider would be vitamin B12 defficiency, electrolyte imbalances or inflammation. This is why I would recommend performing also some blood lab tests (
complete blood count, PCR, sedimentation rate, vitamin B12 plasma levels and electrolytes).
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri