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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does micro abscesses and loculation, cystic changes in carpal bones, sub acute low grade inflammatory process and ostopenia mean ?

I am a 28 year old female and have had problems with sweling joints (knees - had to be drained monthly, elbows and hands) for 8 years now. 4 years ago I was diagonised with arthritis and was put on methatreaxite, predinsolone, naproxane, folic acid & chloroquine and I got well indeed. A few months ago my hands especially the right one started swelling and despite some injections to fix it, it is still swollen. Blood tests results are normal with only ESR = 40 and C-REACTIVE protein =23.1 & CT scan indicated microabscesses & loculations, cystic changes in carpal bones, subacute low grade inflamatory process & osteopenia. What could this mean and what treatment would help?
Wed, 18 Jan 2012
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General Surgeon 's  Response
hi..welcome to healthcare magic..
as per the history above u have got multiple abscess(swellings containing pus) and the bones are getting degraded..i believe u ll have to get a surgery done or start a antibiotic course,bone stimulators and steroids..
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Physical Therapist or Physiotherapist Vikas Dwivedi's  Response
welcum to healthcaremagic
i am very much agree with dr avinash,
first of all u go n consult an orthopedic surgeon, and along with u start physiotherapy that will maintain ur other joint and provide strenth to all muscles of ur body.
definitely ur problem wil cum down
tk cr.
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