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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Puffiness Between Knuckles Due To Lupus Or Dermatomyositis?

I noticed one of your answers for puffiness between knuckles was the possibility of lupus or RA. I was diagnosed with Dermatomyositis in 2008. I just now started having puffiness between knuckles. Could DM turn into Lupus? I may have been misdiagnosed as well, I understand. These diseases are so very similar. My ANA was 1: 5120 in 2008 and at the beginning of this year it went down to 320. I take no meds except ibuprofin, aspirin, etc. What are your thoughts?
Wed, 30 Oct 2019
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Dermatologist 's  Response
Hi,

Puffyness on hands dorsa may be found in dermatomyositis... Gottron Papules. So, I think diagnosis of dermatomyositis may be right. You consult the dermatologist personally and get proper treatment.

Hope this helps.

Dr. Ilyas Patel, Dermatologist
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Is Puffiness Between Knuckles Due To Lupus Or Dermatomyositis?

Hi, Puffyness on hands dorsa may be found in dermatomyositis... Gottron Papules. So, I think diagnosis of dermatomyositis may be right. You consult the dermatologist personally and get proper treatment. Hope this helps. Dr. Ilyas Patel, Dermatologist