Hi and thanks for the query,
It might be possible to think of multiple sclerosis from the clinical signs that you just presented. Doing a spinal tap
and searching for characteristic bands after analysis could be most helpful. However, other causes of similar symptoms should be checked for. From a rheumatologic point of view, systemic diseases, vasculitis
must be excluded. Lupus, Small and medium blood vessel vasculitis must be carefully evaluated and excluded. Rheumatoid factor
, HLA27, Complement system analysis, C3 and C4, Anti Ds DNa anti bodies and Anti histone antibody anti bodies including a simple complete blood count
are sufficient and very informative to move on. PANCA and CANCA for vascu;itis are as well very necessary.
I suggest to get a second opinion from a rheumatologist
before moving on. Thanks and kind regards.
Bain LE, MD.