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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Swelling In Feet, Legs, Toes And Face. History Of Having Fatigue, Photo Sensitivity And Arthritis. Concerning?

I have extreme fatigue, a malar rash, photo sensitivity and arthritis. Now I'm experiencing severe swelling of feet and legs, face and my fingers are so swollen my wedding ring no longer moves. I'm on vacation and have been avoiding salt and trying to drink as much water as possible but am wondering if these symptoms are severe enough to warrant a trip to the ER.
Wed, 14 Aug 2013
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General & Family Physician,  's  Response
Hello,
Welcome to Healthcaremagic.

From your symptoms i suspect you may be suffering from Systemic lupus Erythematosus.

It is a autoimmune disease ie,. formation of antibodies against your own body substances and cells.

It does not have any specific cause. Cause is multifactorial genetic, environmental, etc..
It affects almost all organs in body,

You have to do the following investigations to find the involvement of the particular systems.
Complete blood count , ECG and ECHO, Urinalysis, X Ray chest, Blood Urea and creatinine, ESR, CRP , Liver function test.

If the abnormalities are present in the any of the above tests, finally we have to do the Antinuclear antibody titres to confirm the SLE.

NSAIDS, Hydroquinone and methotrexate etc. are commonly used for treatment.

Nowadays plenty of monoclonal antibody treatments are available. It can not be cured by you can reduce the severity of the disease and avoid experiencing the symptoms.


Hope this helps.
Take care.
Regards,
Dr.Manjeth.
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Severe Swelling In Feet, Legs, Toes And Face. History Of Having Fatigue, Photo Sensitivity And Arthritis. Concerning?

Hello, Welcome to Healthcaremagic. From your symptoms i suspect you may be suffering from Systemic lupus Erythematosus. It is a autoimmune disease ie,. formation of antibodies against your own body substances and cells. It does not have any specific cause. Cause is multifactorial genetic, environmental, etc.. It affects almost all organs in body, You have to do the following investigations to find the involvement of the particular systems. Complete blood count , ECG and ECHO, Urinalysis, X Ray chest, Blood Urea and creatinine, ESR, CRP , Liver function test. If the abnormalities are present in the any of the above tests, finally we have to do the Antinuclear antibody titres to confirm the SLE. NSAIDS, Hydroquinone and methotrexate etc. are commonly used for treatment. Nowadays plenty of monoclonal antibody treatments are available. It can not be cured by you can reduce the severity of the disease and avoid experiencing the symptoms. Hope this helps. Take care. Regards, Dr.Manjeth.