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What causes red spots on the chest, face and hands?

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Posted on Thu, 30 Jun 2016
Question: Had a rash on back for two weeks that looked like burst capillaries, bright red dots on chest look like acne, dry face scalp mouth hands and throat, painful wrists, morning stiffness and aching, inflammation on MRIs of joints, Radiculopathy in low back following fall from height, chest tightness, wake up extremely easily, red eyes after scratching, light colored and green (sometimes puddly) diarrhea that usually looks like algae (see attached). Redness in stool today, i feel a bump on my anus also. Diarrhea or constipation alternating since July. Have tried metamucil, miralax, dulcolax, and magnesium citrate. Presently taking gabapentin, mobic, and zanaflex. Positive RNP and ANA, no titer provided on low quality blood test (military).
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Answered by Dr. Dr. Shruti Rijhwani (14 hours later)
Brief Answer:
Since RNP is positive this can be MCTD .

Detailed Answer:
Dear Sir,

Thank you for posting your query on HCM.

Well looking into your problem I would like to tell you that , considering all your symptoms it is most likely that you are suffering from underlying connective tissue disorder , now the issue remains to characterize it . Since ANA and RNP are positive it can be MCTD but we need to see whole panel of reports before labeling you anything . Get your ANA titre and pattern , ENA profile , CPK , urine r/m, schirmers test . Also seek a rheumatologist opinion as early as possible . Now coming to bloodiness stools , it can be a part of your disease or some other disease ,to rule this out colonoscopy needs to be done and if any ulcerations we find on that biopsy specialized antibody testing will be suggested . Rest if any query please ask but these are all necessary investigations , so you should discuss them earliest with your treating doctor and get it done .

Take care.

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

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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What causes red spots on the chest, face and hands?

Brief Answer: Since RNP is positive this can be MCTD . Detailed Answer: Dear Sir, Thank you for posting your query on HCM. Well looking into your problem I would like to tell you that , considering all your symptoms it is most likely that you are suffering from underlying connective tissue disorder , now the issue remains to characterize it . Since ANA and RNP are positive it can be MCTD but we need to see whole panel of reports before labeling you anything . Get your ANA titre and pattern , ENA profile , CPK , urine r/m, schirmers test . Also seek a rheumatologist opinion as early as possible . Now coming to bloodiness stools , it can be a part of your disease or some other disease ,to rule this out colonoscopy needs to be done and if any ulcerations we find on that biopsy specialized antibody testing will be suggested . Rest if any query please ask but these are all necessary investigations , so you should discuss them earliest with your treating doctor and get it done . Take care. Dr. Shruti