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Dr. P. Jyoti
Dr. P. Jyoti, Consultant MD
Category: Health
Satisfied Customers: 9126
Experience:  17 yrs experience in treating OPD & Emergency patients.
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Are there painful deseases of the leg bones resulting from

Customer Question

Are there painful deseases of the leg bones resulting from dystonia that began in my toes? I also have dystonia in my hands. All four limbs are affected, however my left side is in "worse shape" than my right side. Although not yet diagnosed I think I have spasmodic dysphonia. Symptoms are whispery voice, trouble swallowing, very taut neck muscles and extremely taut larnyx. It feels like my voice box is being squeezed. I have extremely loud noises in my head from the vocal cords hitting against each other and the reverberation that that causes. I am getting some relief from the medications I already have for my limbs but the maximum doses allowed in no way gives enough relief. Right now I am up to needing help in about 1-2 hours from the last time I medicated myself. I know that dystonia is rare but I will soon be 70 yrs old. Is this all unusual for my age? I also have ideopathic neuropathy & sjogrens syndrome. Quite hard! Thanks! [email protected]
Submitted: 8 years ago.
Category: Health
Expert:  Dr. P. Jyoti replied 8 years ago.
Since you have so many different systems affected, you need to rule out connective tissue disorders. Dystonia would not occur so late in age. Connective Tissue disorders are of two kinds, Heritable connective tissue disorders and Immune-related connective tissue disorders.

The main Heritable connective tissue disorders are: Marfan's syndrome, Ehlers-Danlos syndrome, Epidermolysis Bullosa and Osteogenesis Imperfecta.

The main Immune related Connective tissue disorders are : systemic lupus erythematosus, rheumatoid arthritis, scleroderma, polymyositis, and dermatomyositis. In addition to these, there is 'undifferentiated connective tissue disorder' or ‘Mixed connective issue disorder' which is used to classify those that do not fall into any category, plus combinations of any of these. You may be having a connective tissue disorder like Polymyositis.

Tests that are done are:

For all of the disorders: Raised antinuclear antibodies (ANAs) and antibodies to ribonucleoprotein (anti-RNP)

SLE: anti-DNA or anti-Sm (Smith) antibodies, falsely positive blood test for syphilis, anticardiolipin antibodies, lupus anticoagulant, or positive LE prep test.

RA: rheumatoid factor" can be found in 80% of patients. Citrulline antibody (also referred to as anti-citrulline antibody, anti-cyclic citrullinated peptide antibody, and anti-CCP).

Scleroderma: A particular antibody, the anticentromere antibody, is found almost exclusively in the limited, or CREST, form of scleroderma. Anti-Scl 70 antibody (antitopoisomerase I antibody)

Polymyositis; CPK or creatinine phosphokinase, aldolase, SGOT, SGPT, and LDH. EMG.

You must bear in mind that ultimately, a clinical diagnosis is the best diagnosis for connective tissue disorders.

You need to approach a Rheumatologist for further investigations along this line. Rheumatologists are the specialists for connective tissue disorders.You can read up here:

http://www.mayoclinic.com/health/lupus/DS00115

http://www.merck.com/mmhe/sec05/ch068/ch068f.html

http://www.medicinenet.com/mixed_connective_tissue_disease/article.htm

http://www.mayoclinic.com/health/mixed-connective-tissue-disease/DS00675





I hope my answer has helped you. Please click on the green ‘accept' button below for accepting this answer. Feedback/Bonus will be appreciated.



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Customer: replied 8 years ago.

Dear Dr. Baughman:

I appreciated your prompt response and your answers were helpful. At least I know where to start looking. I like to look up what each illness is about so I can better understand what I am hearing and ask the proper questions. I do have a very knowledgeable rheumatologist and I know he will get the right answer for me and know what to do for it. It would be so very nice if the medical reseachers/scientists in this wonderful world of ours could come up with cures for some of these little known illnesses..

Thanks again and HappyHolidays!............................................................................................................................................................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

 

D. Murphy