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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hives And Body Pain Despite Taking Prednisone

I am 23 years old, female in generally good health. no allergies, no major surgeries I work as a certified nursing assistant in a care home. in Feb of this year I suddenly broke out in hives with fever and terrible body aches, swelling and soreness. had many, many blood tests, x-rays, etc. was placed on Prednisone and weaned off slowly, but once I got to 4 mg BOOM all the symptoms came back. there was never a definitive diagnosis, however the working diagnosis was human parvo virus. I have now been sent to a rheumatologist who had more blood tests done, but I am on 50 mg of Prednisone a day, so tests showed nothing, except continued inflammation. I am at my wits end
Thu, 10 Aug 2017
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Nephrologist,  's  Response
Dear Patient,

in my career, resistant hives were related with parasites. This is particularly true if gastroenteric symptoms are coexisting. I recommend you to search intestinal parasites doing a direct microscopical observation of stools, then CBC is important to exclude high count of basophils (which are generally rare in normal CBC), total IgE, hepatic function. Then, I would perform an abdominal ultrasound and, if gastrointestinal symptoms are present, a colonoscopy and an EGDS. Let me know
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Suggest Treatment For Hives And Body Pain Despite Taking Prednisone

Dear Patient, in my career, resistant hives were related with parasites. This is particularly true if gastroenteric symptoms are coexisting. I recommend you to search intestinal parasites doing a direct microscopical observation of stools, then CBC is important to exclude high count of basophils (which are generally rare in normal CBC), total IgE, hepatic function. Then, I would perform an abdominal ultrasound and, if gastrointestinal symptoms are present, a colonoscopy and an EGDS. Let me know