Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
132 Doctors are Online

Awakend at 9am yesterday w/ pain & itch at elbow;

User rating for this question
Very Good
Answered by

Internal Medicine Specialist
Practicing since : 2004
Answered : 1096 Questions
Question
Awakend at 9am yesterday w/ pain & itch at elbow; felt feverish, noticed red streaks across fingers & hands; moved from bed to chair by phone, to call doctor, & fe ll asleep; awakened llpm, streaks had become purple, extending from fingers to shoulder; decided to call family, and fell asleep till 8am, today; less feverish, and purple streaks faded to reddish. What's haappening?
Posted 5 days ago in Medicines and Side Effects
 
 
Answered by Dr. Salah Saad Shoman 2 hours later
Brief Answer:
Various possible causes

Detailed Answer:
Dear Sir,
I have gone through your question and I understand your concerns,

But I would like to see a photo of the streaks affecting your skin. So, if possible please attach/upload a photo in the follow-up question.

However, this could be due to a number of causes including cellulitis which is an infection of the skin or subcutaneous tissues and is accompanied with fever, swelling, red or purple streaks of the skin that indicates spreading of infection and sometimes drowsiness and lethargy... This should be treated with an antibiotic course for 7-10 days...

Another cause is increased secretion of cortisol hormone ( Cushing syndrome ) and this can lead to weight gain, muscle weakness, fatigue, high blood pressure and purplish or reddish streaks of the skin...

I would recommend a blood test of cortisol level to either confirm or exclude this possibility...

I hope you find this helpful
Let me know if I can assist you further...
Regards

Above answer was peer-reviewed by
 
Follow-up: Awakend at 9am yesterday w/ pain & itch at elbow; 2 hours later
Thank you. This is consistent with a diagnosis a decade ago of adrenal exhaustion. Also, for your information, of post-traumatic stress syndrome originating in early infantile 3rd degree burn (recovery from which occupied the first 4 months of my life, I am told.)
 
 
Answered by Dr. Salah Saad Shoman 13 hours later
Brief Answer:
Different conditions

Detailed Answer:
Dear sir, hello again . adrenal fatigue or insuffiency is different from the Cushing syndrome which I have suggested as a cause of your symptoms. Despite that both conditions affect the adrenal gland and both can causes extreme fatigue and sleepiness but adrenal insufficiency means that the amount of cortisol secreted is below normal while Cushing syndrome means that the amount of cortisol secreated is above normal .
adrenal insufficiency causes dark pigementation of the skin, while Cushing syndrome causes red or purple pigmentation of the skin.. to differentiate between both conditions you need a blood test of the cortisol level in your blood. I hope you find this helpful..
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask an Internal Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor