What does a rash near the groin with swelling and joints pain indicate?
i have a rash in my groin that i havent been able to get rid of for nearly two years. i have joint pain and swelling. fatigue. my fingers swell. i have red eyes and pain in my left eye. i have a lot of pain in that rash.
also its in between my bottom and under my breasts though not as bad as in my groin
Possible Psoriasisb. Require diagnostic confirmation
I have worked through your query and attached images in detail.
I can certainly understand how frustrating it might have been to you with these health related issues.
As per your symptoms, the possibility of psoriasis is high. With regards to non dermatological symptoms it's important to rule out connective tissue disorders which are quite frequently associated with psoriasis and your age group and sex in general.
Screening through following tests are advisable
1 ANA PROFILE
3 COMPLETE BLOOD COUNTS
4 SLIT LAMP BIOMICROSCOPY OF BOTH EYES
Further management if any is largely based on test results.
Likewise this condition is largely treated by topical steroids. It's advisable to consult a dermatologist in person for expert management and evaluation of skin lesions.
in the past i have had a slightly elevated esr
my crp has been high
blood counts have pretty much been normal asside from low iron
ana has always been negative
is ths slit lamp test for the eyes the paper test? if so my eyes have been done by my rheumatologist.
they are 0.2 mm when they should be 0.5
ive also been diagnosed with fibromyalgia because my ana has been negative
i can get these tests done again, & i have another app with my rheumatologist soon
if i show him the rash will he be able to diagnose this?
ive also had hands and knees xrayed but nothing shows on the xray. i also get severe pain in my ankles and swelling.
i had always thought it was jock itch but this has been going on for nearly two years now.
thank you so much for your reply
Possible Seronegative arthritis
I can certainly understand your concern
Slit lamp examination is a examination of the eye under microscopic assistance. it is not a paper test.
It's advisable to consult a dermatologist for skin lesions.
As per your lab reports description, you possibly seem to have Seronegative arthritis. It is a form of multisystem disease with negative finds on ANA profile.
Jock itch is generally not associated with systemic features like eye and joint involvement.
High CRP, ESR and low iron is a feature of Seronegative arthritis.
It's advisable to consider consultation with both dermatologist and rheumatologist.
Treatment with systemic steroids will be largely helpful.
i am wondering if its possible at all to have seronegative arthritis and osteoarthritis as i have mild osteo in both hips. (from an xray)
i am wondering how arthritis progresses, are there stages?
can i get the eye test at the doctors or an optometrist? when i had an eye test last year, they said i possibly had sjorgens because my eyes were so red and dry.
Sjogren's syndrome is a significant possibility.
Sjogren syndrome can be a significant possibility as it's association with Seronegative arthritis, psoriasis and fibromyalgia is well documented.
Slit lamp biomicroscopy should be typically carried out by an expert Opthalmologist but not optermist
Osteoarthritis is a non specific usage term. It's a broad term reflecting Arthritis. In your case Seronegative arthritis is a more appropriate term to be used.
Arthritis definitely progresses over a time period with final stages showing gross abnormalities of the joint causing fractures.
i just want to thank you as you have answered every thing and given me answers i have not recieved from my doctor.
i also want to let you know that my joints also have redness on them like my hands when i experience flare ups.
i also have pain on weather changes.
Anti-inflammatory drugs are the treatment of choice
Thank you so very much for your appreciation
These joint symptoms are largely suggestive of features of inflammatory arthritis.
Holistic approach is required in your case. Consultation with a dermatologist, Opthalmologist and an Immunologist/ Rheumatologist is strongly recommended.
Consider taking appointment with another opthalmologist for slit lamp with Fundus eye examination.
Earlier initiation of treatment with anti-inflammatory drugs will be pretty helpful.
currently i am on celebrex 1 daily
panadol osteo x2 daily and add a 3rd tablet if needed
i am on iron supplements and vitamin d supplements
when i was diagnosed with fibromyalgia i was actually researching about a holistic approach
i was wondering if it would be possible to take a
- vitamin C
all with celebrex and panadol osteo (the rheumatologist perscribed the celebrex and osteo even though i dont think he believed me too much that i could have arthritis as bloods came back normal and i am 35)
also would swimming be the best exercise as i have asthma as well which can be quite severe sometimes. i developed asthma in 2016. i currently take for this symbicort and ventolin. could arthritis have played a part in me developing asthma?
thank you again.
Asthma can develop independently
I have worked through your attached query in detail
Asthma can develop independently unrelated to arthritis.
All the 3 to 4 MEDICATIONS prescribed by your doctor are very effective against fibromyalgia. Vitamin C can help although consistent results are not available.
Swimming is certainly helpful to combat asthma.
Continue the same Medication as prescribed for asthma.
s couple more things, just wondering. i have essential tremmors in both hands as diagnosed by my dr. and a trigger finger(?) are these caused by arthritis.
i have a lot of things to write down.
how can i leave a review? and can i ask you again if i have further questions? XXXXXXX
You can ask further queries at any given time
Thank you so very much for your appreciation.
Yes, indeed you can write down any questions and put it across to me. I will be happy to guide you thoroughly.
Please provide additional information
I can certainly understand your concern
Before guiding you further, I would like to know the following
1. Since how long you had these moles ?
2. Is there any recent changes in size, shape, colour and symmetry ?
3. Is there any associated pain ?
4. Any such similar symptoms in family members ?
Once I receive your answers I will guide you accordingly.
the light coloured one has changed in size over the last year and a half the sticking out mole has changed to a pinky brown colour in the last year
theres no pain in both of them and i think my dad has had to get some skin cancers removed.
It's advisable to rule out Malignant melanoma
I can certainly understand your concern
Considering the changes which you mentioned in these moles and a positive history of skin cancer in the father it's advisable to rule out Malignant melanoma ( a form of skin cancer ).
For this I advise you to consider a full thickness biopsy of the skin lesion after discussing with your pathologist.
Review with reports to determine further course of action. Early screening is extremely important in detection of Malignant melanoma.
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