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What Causes Extreme Muscle Pain And Swollen Knee Along With Deep Cough?

Posted on Mon, 6 Apr 2015

Question: I awoke in the middle of the night to extreme muscle and body pains and could not move the right side of my body without experiencing extreme pain. I had no strength in my arms and also have a swollen knee with red blotches on the knee cap accompanied by a deep cough and an unexplainable and undiagnosed (and have been to 5 different doctors) rash condition on my palms. Still achy all over but am able to stand and lift items almost 100%. Joints are stiff and I had trigger fingers. They would pop when I tried to bend them or make a fist.

Answered by Dr. Dr. Naveen Kumar Sharma (4 hours later)

Brief Answer:
It can be a viral fever

Detailed Answer:
Hello,
I have sudied your case. You are most probably having a viral fever and myalgia. That is causing weakness and joint pain in you. But before I advised your any further I would like to know little detail about your illness.
1.Please tell me your age, sex, personal history like smoker or alcohol?
2.Are you having any long term disease like Diabetes , thyroid , hypertension or arthritis?
3.Are you taking any medicines since long time?
Please tell me answers of these questions. I will try my best to help you.
thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Sharma (12 hours later)

It been an ongoing occurrence with the skin minus the middle of the night paralysis. I am 44 and hardly intake alcohol and have not smoked in 5 years. The bumps or rash turn pustular and remain under the skin without breaking. I also experienced blotches on my knees along with the swelling and stiffness. I've been prescribed different creams and prednisone which seems to knock it out in a week or so but have been advised to not take prednisone each time I have a break out which each almost monthly.

Answered by Dr. Dr. Naveen Kumar Sharma (11 hours later)

Brief Answer:
You need to consultant dermatologist

Detailed Answer:
Hello,Thanks for replying. I beleive that you are having inflammatory arthritis. I would recommend you to get these investigations.
1.ESR,CRP, RA factor
2.Ant iCCP antibody
3.Dermatologist's opinion for skin lesion
as you told me that you have been taking prednisone, It should not be taken like this. Once you shtart it than you can not stopped it suddenly as than it give reise to increase disease activity. So If this time you have been prescribe this medicine,
than you should taper it gradually.
I hope this answer will be helpful for you. Let me know if there is any other followup questions.
thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar