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Having swelling in arms and legs, skin red, sore. Elevated liver enzymes and WBC. Reason?

hello, I went to the e.r. on Friday with extreme swelling in my arms and legs...muddled red skin and sore. My liver enzymes were elevated along with my white blood cells. I am going back for testing repeat tomorrow. I was told that if my fever spiked or had more pain to return. no fever..still pain but no worse. I feel as if I am dragging my body around and can only walk around for an hour or so before I have to go back to bed. I am not urinating like I used to... pee on a giggle.. now I urinate infrequently. I am 49 and female. thanks
Asked On : Fri, 8 Feb 2013
Answers:  1 Views:  58
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Gastroenterologist 's  Response
Hello, blondie,
The elevated white blood cells, liver enzymes is suggestive of
some acute infection . You also mention low urine output.
Along with this, swelling of your arm and legs, all suggest something
more serious. You seem to have kidney failure and liver failure going
on at the same time. This could be from an acute infection . If you have
had any sorethroat or joint pains recently , this can follow.
Acute Hepatitis usually does not affect the kidneys unless it is fulminant
or very severe. Auto-immune disorders such as Systemic Lupus can
affect different organs including liver and kidneys. You need more studies
done including Hepatitis screen , Lupus tests such as antinuclear antibodies,
anti-DNA antibodies, serum complement levels, CT-scan or ultrasound of
the abdomen to include kidney and liver.
If there is a history of long term alcohol abuse , will have to think about
Cirrhosis of the liver and kidney failure associated with that.
You need to have a complete work up before you can get a diagnosis.
I wish you the best.
Answered: Sat, 9 Feb 2013
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