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What can be the reason for tremors in upper exts with purplish brown nails ?

My dtg started with essential tremors to her upper exts. et purplish-brown nails when age 12. She is now 19 et all is worse. We have been to x 4 different CMC et John Hopkins. Many neurologists, rheumoidologists, internal medical MD s, pediactricians. ANA always super high. Nobody can give us a dx. She is a nsy student, active, exercises, eats well, et thin statue. Tremendous amts of lab tests over years. Trembling increasing... been on several beta blockers, doesn t seem to help. Please help concern mother, had EMG , MRI brain, Echo, all neg. Thanks so much for your time, effort, et intelligence. Concerned et terrified mother, Barb
Asked On : Sun, 24 Jun 2012
Answers:  1 Views:  32
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General & Family Physician 's  Response
It is a case of SLE with neurological involvement.You should start immunosuppressive for your daughter, after consulting with any Immunologist.
Answered: Thu, 5 Dec 2013
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