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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Joint Pains, Fatigue And Chilling Inspite Of Having Liver Calcification?

My son was discovered to have liver calcifications incidently at the age of 7. He was followed by CT scans for a couple of years but not for the last 3 as nothing had changed previously. Last year at the age of 12 he lost a signficant amount of weight (18 lbs) but had started Citalopram 10 mg just prior and they felt it to be related to that until blood tests showed him to be neutropenic. We were also told IF it was the med things would level off and weight would return. Well they havent and since that time appetite has been decreased more so than previously, gets chilled easily (teeth chatter) will occ have a fever of 100-102 which lasts only a few hours and returns to normal. We have checked blood sugars as well and noted him to have a few minimally low blood glucose readings 72 to 68 at the lowest, he develops hives all over his body which seem to just occur randomly and sometimes take days to clear even with benadryl. We took him to MD for eval. She suspected anemia and possibly a virus causing the hives and said it would pass. She did blood tests only to appease us however Ferritin came back oddly high at 312 along with elevated CRP and neutropenia again. We questioned liver involvement and she didn t agree, we went to another MD as more symptoms had developed of joint pains who felt a referral to GI should be done and ordered additional blood tests which showed again elevated CRP, ALT, AST and Ferritin 278 and again is noted to be neutropenic. Mono tests were negative as was RA and Lupus. We continue to wait to get in to see the specialist and in the meantime he has developed cramping in arms, legs and abdomen (all over not just the right side) continues with chills, has worsening fatigue, tips of fingers were cold and blue for a few hours on two occasions now and then return to normal, feels dizzy at times. What could this be? Does this sound like hemochromatosis which the doctors seem to know nothing about or is something else being missed?
Thu, 29 Nov 2018
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General Surgeon 's  Response
Hello,

Consult a rheumatologist and get evaluated. A detailed evaluation is required to find out the exact cause.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shinas Hussain, General & Family Physician
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What Causes Joint Pains, Fatigue And Chilling Inspite Of Having Liver Calcification?

Hello, Consult a rheumatologist and get evaluated. A detailed evaluation is required to find out the exact cause. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician