Hi, needing some help on a patient seen yesterday with edema, erythema, hypersensitivity of skin on pressure, pain (not joint) duration 4-6 weeks with edema / pain gradually reducing over this time. Initially first attack occured 2 weeks after trip to Athens and was diagnosed as having Ross River Fever. Unilateral ankle to digit involvement (subsequent bouts bilateral involvement with ankle to digit only involvement) Flares up after having cold / flu. Apparently blood tests taken over three weeks are negative to gout, urine tests also negative, X-rays NAD. Treatment to date has been. 5 day course of steroids which eased symptoms somewhat, ice temporarily improves symptoms as does rest, massage and US toward end of bout has helped.
Members do not see these Ads. Sign Up.
Vascular supply WNL, mild discrimatory sense loss on both PMA's, R dorsum and ILA, diminished R knee reflex, L dorsiflexors weak, R dorsiflexers 'cogwheel action'
I am really stumped, so is the GP, any ideas? Helen
Tags:
Loading...
- Similar Threads - Help Diagnosis needed
-
- Replies:
- 22
- Views:
- 8,679
-
- Replies:
- 10
- Views:
- 14,792
-
- Replies:
- 0
- Views:
- 2,559
-
- Replies:
- 3
- Views:
- 10,075
-
- Replies:
- 1
- Views:
- 4,192
-
- Replies:
- 7
- Views:
- 7,251
-
- Replies:
- 11
- Views:
- 15,389