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Hypothyroidism and pernicious anemia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1614 Questions
User :   Im a 24 year old female with hypothyroidism and pernicious anemia. I have been unwell for 10 days now from day 1 i had a pimply red rash that started from behind the ears, trunk, stomach,arms and top of legs. Ive had a temperarture with this fever which has now subsided and also felt tired and generally unwell. Off food for a few days. My rash is now still there but no longer raised seems to of gone flat and quite dry and flaky. Ive had some recent blood test done since feeling unwell. FBC was normal apart from WBC were 13 and neutrophils were 10.45. I also had a IgM blood test which was 0.31 the range is 0.5- 2.2 so this is slighty low. Wondered if you had any idea what this is?
Doctor :   Hi
User :   Hi
User :   adding to the info above my igg is 7.60 and iga is 2.10
Doctor :   ok
User :   u any idea what this is?
User :   my doctor said before blood test it is viral infection but i thought that the rash would of gone by now
Doctor :   So since 10 days you have the rash
User :   yes
Doctor :   initially when the rash came you had fever though, right?
User :   yes
User :   hot and cold
User :   lethargic
User :   slight temp
Doctor :   ok
Doctor :   but there is no temp / fever now , right
User :   yeh no temp
User :   or fever
User :   mainly just the rash
User :   what do you think the blood test show?
Doctor :   do u have normal ranges
Doctor :   in the report sheet
User :   yes
User :   wbc4.0-11.0 but mine was 13.0
Doctor :   igg - 7.60
Doctor :   what is normal range
User :   and neutophils 2.5-7.5 and mine is 10.45
User :   igg 5.4-16.1
Doctor :   This indicates infections
User :   wat does low igm mean
Doctor :   *This mean neutrophil count
Doctor :   Ig G Ig A, Ig M are antibodies which fight agaianst bacteria
User :   what kind of infections can course low igm? and high neutrophils along with a nasty rash and fever
Doctor :   These are called immunoglobulins
Doctor :   In Patients with pernicious anemia, there could be a possibility for low immunoglubulins
Doctor :   low immunoglobulins indicates lack of good good imminity
Doctor :   Do you follow me?
User :   how can i improve these?
User :   yes
Doctor :   Some infections cause increase in Ig M or Og G
User :   so the low immuno just takes longer to fight as i at a higher risk of catching something?#
Doctor :   Now tell me normal Ig a levels in range
Doctor :   yes u r right
User :   0.7- 2.8 and mine is 2.10
Doctor :   your Ig G are normal
Doctor :   Ig A also normal
Doctor :   What about Ig M
User :   0.5-2.2 mine is 0.31
Doctor :   0.31 the range is 0.5- 2.2??
User :   yes
Doctor :   ok
Doctor :   On the whole it is normal
Doctor :   There is no deficiency OK
User :   ok
User :   :-)
Doctor :   Your ummune function is ok
User :   so back to the fbc
User :   does that prove a viral infection
Doctor :   on the contrary , in acute viral infections , Ig M increases
Doctor :   But that is not happened
User :   no it hasnt
User :   but i do have this rash
Doctor :   So this is imp Q
User :   if this rash is no longer pimples and flatter but still very noticeable would you say this is on its way to healing
Doctor :   yes I can sy it is healing
User :   its seems very dry
User :   and flaky
Doctor :   it takes times
User :   red in area whaere it has flakes of
Doctor :   When was you last b12 done
Doctor :   Was it normal
User :   blood test was 3 weeks ago
User :   was 610
User :   injection due in about 3 weeks time
Doctor :   what is the lowe limit of normal
User :   200- 900
Doctor :   *lower
Doctor :   Then it is ok
User :   yes
Doctor :   Have done the thyroid function testst
User :   i think it prob be about the 350 range now though as my next injection due
User :   yeh thyroid is fine :-)
User :   all within ranges
Doctor :   and calcium levels
User :   not done calcium levels
Doctor :   When you for labs next time get it done
Doctor :   I think you have ? infection
Doctor :   and rash
Doctor :   and it is getting better
User :   how long will it start to get better i think day 7 was worst day
Doctor :   But it is not bacterial infection
Doctor :   it is virla infection
User :   ok :-)
Doctor :   It may take min 2-3 weeks
User :   really blimey
User :   thats along time
Doctor :   yes
Doctor :   Skin has to get new layers
User :   if it is smooth i take it this is a good sign
Doctor :   and throw the dead outer skin
User :   some area looks slight red raw prob where itched more
User :   do u think it will help havin b12 injectione arlier with the healing process?
Doctor :   no
Doctor :   levels are normal
User :   ok :-)
Doctor :   if u take it does no t hurt
Doctor :   how often u ge the shot
User :   3 monthly
Doctor :   When is the next shot due
User :   3 weeks time
Doctor :   2 weeks from now
User :   no 3 weeks from now
Doctor :   sorry 3 weeks from now
Doctor :   ok'
Doctor :   you can get the shot
Doctor :   it might help
User :   also i was due on my period 3 days ago and that hasnt come is this because ive not been well
Doctor :   but it will not hurt
Doctor :   yes
User :   yeh i might do shot today then
Doctor :   go for it
Doctor :   Take benadryl or any antihistamine tab daily
User :   yeh i have been doin
User :   because my rash was so bad the doctor started my on prednisolone
Doctor :   Apply good moisturizer from head to toe
Doctor :   that is ok
User :   i had 6 5mg yesterday and 5 5mg tablets today and i will have 4 5mg tablets tomorrow till i evenutally have none
Doctor :   so you are tapering
User :   yeh ive got some diprobase which i have washed in also which has helped
User :   yes
Doctor :   You are doing ine
User :   will i come on my period this month or just miss it al together
Doctor :   *fine
Doctor :   You may miss it
Doctor :   but u will get enentually
User :   also now my rash is flattening its looks like areas joined together
User :   does this make sense
Doctor :   yes
Doctor :   but pimples re resolved
User :   yes defo
Doctor :   skin is ex foliating
User :   may have few pimples on legs
Doctor :   that is the sign of resolution of rash
User :   where it went to last
Doctor :   I can say you are getting better
User :   good i hope so
User :   i still look a mess
User :   lol
User :   just glad i feel better
User :   will showering irritate it
User :   or can i shower as much as i want to
Doctor :   Yes
Doctor :   do mild water shower
Doctor :   do it only for less 10 min
User :   ok :-)
User :   glad u think im on the mend
User :   so blood do prove some viral infection
User :   ive not got anything else to worry about have i?
Doctor :   y
Doctor :   no
User :   ok thanks
User :   think i will have b12 shot today
User :   as thats good for hair and skin
User :   also i think i may have lost few more hairs on scalp since not been well
User :   i loose about 15-20 hairs when wash and brush it a day
User :   is this normal
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