What are the symptoms of autoimmune diseases?
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HI, I have a rheumatology question. I am a 46 YO white male, height 6'4 weight 240lbs in fair health. I was diagnosed with a conduction disorder of the heart that causes episodes of atrial fib which had to be converted by shock several times in the past. NO, episodes within the past couple years other than PVCs. I take no meds and I'm in NSR - i only take magnesium oxide 400 mg/day which seems to stabilize my heart. When I was younger I had low gamma globulin - i believe it was igg deficiency and I was sick a lot with various respiratory illnesses. As i got older in the teens the recurrent respiratory illness faded as I started producing igg. The question I have is that over the years, I seem to have episodes of a skin rash around my nose and a rash on my chest, both respond to dexomethasone cream. But, I have had episodes of mild soreness in my chest and that seems to corresspond to increasing myocardial irritablity in the form of pac's and pvcs during these 'flares'. I treated with ibuprofen 600 mg around 2 or 3 times a day and that seems to help. It seems these flares come and go. I had a SLE antibody test done two years ago and it was negative. other blood values seem to be fine. Question: Given the past history of hypogammaglobenemia and these recurrent symptoms - could I be suffering from some type of mild autoimmune disorder?? one in which is related to the skin rashes, GI symptoms (heartburn, etc.) and mild pericarditis or myocarditis type symptoms that I seem to experience. Your opinion on the matter would be greatly appreciated. thank you. XXXX
Posted Fri, 21 Mar 2014 in Lupus
Answered by Dr. Shruti Rijhwani 10 hours later
Brief Answer: Follows. Detailed Answer: Dear Sir, Thank you for posting your query on HCM. Well looking into your problem I would like to tell you that most of the autoimmune diseases share clinical features and the history you are telling corresponds mostly to LUPUS. I would advise you to get your ANA , ENA profile , Anti ds DNA antibody ,Complement levels C3 and C4, Urine R/M , CPK test done to look for proteins . There is a possibility that if you suffer from any autoimmune disorder some significant abnormality needs to be present on these tests . It is possible for these tests to come negative but can be positive on repeated testing . but then that is the only way we can assess you . Take care. Dr. Shruti
Follow-up: What are the symptoms of autoimmune diseases? 39 hours later
Hello, Thank u for answering. I just remembered that i had instances of low grade fever and night sweats a couple years back that lasted a couple months. I think 2 episodes. That isfinenow temp normal and no nightsweats. i did have an episode of sudden floaters in my eyes dx as vitreous degeneration and i had laser surgery last summer. Could that be related to autoimmune eye condition as well. im taking ibuprofen 800mg bid. If it was lupus do u recommend a more frequent dosing. It seems to be helping me right now. Thank u. XXXX pharmD. Ps if u had to guess with no blood tests do u think or feel like it could be a mild lupus case on sx and hx alone. Thank u again.
Answered by Dr. Shruti Rijhwani 10 hours later
Brief Answer: Follows. Detailed Answer: Dear Sir, Thank you for reverting back. Well if you ask me just on the basis of history it will not be possible for me to give you a diagnosis of Lupus because it mimics many common diseases so the symptoms may be non specific and low grade fever can be present in it also . Generally autoimmune conditions are related with uveitis and scleritis so the possibility of LUPUS is unlikely with floaters but cannot be ruled out . Ibuprofen is not the drug used for Lupus , it has got no relevance in it so increasing its frequency will not lead to anything . Take care. Dr. Shruti
Follow-up: What are the symptoms of autoimmune diseases? 11 hours later
Hi I am confused. The lupus foundation of XXXXXXX (lupus.org) lists ibuprofen along with other nsaids for treatment of mild cases of lupus and associated joint pain. It states. ...for many people an nsaid may be all they need to control their lupus.. It then lists corticosteroids and then immune suppressants for moderate to severe cases of lupus. The nsaid at very least has helped the mild chest pain i have experienced. Thank you. XXXX
Answered by Dr. Shruti Rijhwani 11 hours later
Brief Answer: Follows. Detailed Answer: Dear Sir, The treatment of LUPUS depends upon the the organ involvement , Even if somebody is having Lupus and there are no signs of organ involvement we would prefer not to treat . You are right , Ibuprofen is a pain killer and works well in joint pains due to any reason but it is used to treat the symptom only , it will not have any impact on the disease activity of Lupus so thats why I said that . You will need to consult your treating doctor regarding increasing the dose because of the possibility of side effects you can have with increasing the dose . Dr. Shruti