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Fever,body rash with hypothyroidism - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
User :   Ive had a fever for the last 7 days and all over body rash had some bloods taken my WBC are 13 and my IgM is 0.31 is this anything to worry about? Im a 24 year old with hypothyroidism and pernicious anaemia. My doctor is testing me for measles does this all fit in?
Doctor :   Hi
User :   hi doctor :-)
Doctor :   I am reading your query
Doctor :   Please be patient
Doctor :   Measles fit into it
Doctor :   Do you mean IgM for Measles
User :   yes
User :   the IGG was within normal range
Doctor :   Do you know the local lab range ( written in the copy)
User :   mine was o.31 lab range 0.5-2.2
Doctor :   What is the method that IgM is tested
User :   blood
User :   but the igg was in the correct ranges
User :   but the igm was low
Doctor :   Ok I think it has no good significance if it is low
Doctor :   It means that the recent infection is no relating to Measles
Doctor :   IgG says you are immune to Measles
User :   ok
User :   so what u think it could be
User :   rash isnt raised now but just marks red and dry where it has been still look very patchy
Doctor :   Do you have measles in the local communnity or in the family
User :   no
Doctor :   Do you have a picture of it?
User :   but i do work in a doctors surgery so i maybe could of got it of patients
Doctor :   Did the rash start first or the fever?
Doctor :   Ok yes
User :   rash
User :   then fever
Doctor :   Did the onset of fever change the rash, increase or decrease or nature of it?
User :   but couple weeks prior to rash i was not myself
User :   made it worse
User :   but it seems to be calming down now
User :   so low igm means nothing?
User :   and wbc was 13
User :   mine is normally about 8
Doctor :   yes WBC is raised which states there is an infection which your body is fighting against
Doctor :   Do you have particular pattern of rash on the body?
User :   started behind ears
User :   then neck
User :   all over trunk
User :   stomach
User :   back
User :   top of legs
User :   several spotty areas on arms and face
Doctor :   Ok
Doctor :   What was the temperature recorded?
User :   but the rash is no longer risen
Doctor :   Was it assoc with chills and rigors?
Doctor :   Ok great

User :   yeh chills
User :   temp was between 37.1 and 37.8
Doctor :   Any lymph nodes palpated by your doctor at the neck?
User :   no
User :   got a sore throat now the rash is settling down
Doctor :   Ok
User :   feels bit sharp when swallow
User :   what you think it is?
User :   also what would the low igm mean
Doctor :   Ok I am unable to arrive at any diagnosis, now I need to know more about the rash
Doctor :   Vesicular or papular
User :   manupapular
User :   but now not pimple like more flat
User :   dry
User :   but red in areas where all spots have been
Doctor :   Can you send me a picture?
Doctor :   Do you have joint pains?
User :   sorry i cant not good with comp
User :   no joint pains
Doctor :   Have you gone on outing and tick bite?
User :   no
Doctor :   Are you sexually active?
User :   yes but only been with my partner
Doctor :   Any history of recent STD's?
User :   long term relationship
User :   no
Doctor :   Do you have problem in the oral cavity also?
User :   no
Doctor :   I mean spots in the mouth
User :   no
Doctor :   Are you fatigue?
User :   i was
User :   but not now im gettin better
Doctor :   Ok so you are just recovering
User :   yeh i think so
User :   just concerned about low igm
User :   so this rules out measles
Doctor :   Seven day history and recovery think about virus
Doctor :   No at times labs have no value
Doctor :   which may be in your case too
User :   what mean
Doctor :   I mean lab may not be significant as clinically
Doctor :   Your doctor may be right in calling it measles
Doctor :   even though the labs are not pointing
User :   so the results dont suggest measles
Doctor :   Any history of diarrhoea prior to it?
User :   yes
Doctor :   How many days earlier to rash?
User :   prob on and off for a week prior
User :   and during rash i had it for one day
Doctor :   How many days you had suffered from diarrhoea

User :   not constant
Doctor :   Ok, something like Entero virus can be a possibility
User :   just soft stools not usual self
User :   ok
User :   so low igm stand for noithing??
Doctor :   Salmonella Typhi can be other, but the recovery is not so fast
Doctor :   Yes they do not stand for nothing
User :   ok thanks doctor
User :   looks like measles out of the question
User :   but least wbc raised so show virus fighting
User :   est was fine 2
Doctor :   yes that is good to know
User :   esr
Doctor :   Ok
User :   how long can it take to recover from viral infections
Doctor :   If you still want to find out the reason for this, the perfect expert would be Infectious disease specialist
Doctor :   One week to 10 days
User :   ok
User :   how long the rash take to go
Doctor :   They remain for week
Doctor :   and gradually fade off
User :   ok
User :   thanks
User :   thanks for ur time
Doctor :   Thanks for consulting me
User :   :-)
Doctor :   Bye for now
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