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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Rheumatoid Arthritis?

hi doctor!its about my sister,she 36yrs old married women feeling some strange sensation like something is crawling on her lips without any tingling or numbness on lips or on face.she had undergone all blood test, the only positive tests are ESR - 60, RA factor borderline,eosinophils count 10%, rest of autoantibodies test are negative (ANCA negative.)she is also experiencing Raynauds disease in her hands from last 2-3 months.but this lip strange feeling is annoying her most.my mother is rheumatoid arthritis patient.I myself am a doctor.(neurosurgery SHO at the moment),cant understand what to do next..............
Wed, 25 Feb 2015
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Orthopaedic Surgeon 's  Response
Thank you for the question.Since your sister has raynauds, she must be on vasodilators for it.For RA confirmation, Serum Anti-CCP may be done as you know rheumatoid factor can raise in few other conditions also.Absolute eosinophil count?
as a neuro doctor youknow strange lip symtom without numbness or tingle may be unexplainable.Just wait and watch.youmay give her alprazolam0.5 mg daily for few days
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What Is The Treatment For Rheumatoid Arthritis?

Thank you for the question.Since your sister has raynauds, she must be on vasodilators for it.For RA confirmation, Serum Anti-CCP may be done as you know rheumatoid factor can raise in few other conditions also.Absolute eosinophil count? as a neuro doctor youknow strange lip symtom without numbness or tingle may be unexplainable.Just wait and watch.youmay give her alprazolam0.5 mg daily for few days