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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 33548
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Hi there i have red blotchy hands,pain although my body and

Customer Question

Hi there i have red blotchy hands,pain although my body and headaches a white tongue with lumps on it and ive been very sick for the last year,My doctor cant find anything in my blood ive been tested for hiv its negative im verysick and scared and he cant seem to help me can you help
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 5 years ago.

Did you consult any specialist?
Do you have joint and muscle pain, diarrhea, nausea, acid reflux, loss of appetite, weight loss, feverish feeling?
Any significant past medical history or family history?

Dr. Arun
Customer: replied 5 years ago.
yes all of them seen a neurogist he said its not ms
Expert:  Dr. Arun Phophalia replied 5 years ago.

Your symptoms are suggestive of immune mediated disease like; systemic lupus erythematosus, Raynaud's disease, dermatomyositis, scleroderma, rheumatoid are the possibilites. So if you have not consulted a rheumatologist; that would be the first step. I am sure that your adrenal function tests and thyroid function tests must have been done. Still consulting an endocrinologist would be prudent (if not yet done) as hormonal dysfunctions are the other diagnostic possibilites for your symptoms. Following work up would be suggested (some may have been done for you);

1) Complete blood count,

2) Erythrocyte sedimentation rate,

3) Thyroid function tests,

4) Muscle enzymes;

5) Anti-nuclear antibodies (ANA)

6) Adrenal function test

7) Anti-dsDNA

8) Anti-Sm

9) Anti-SSA (Ro) or Anti-SSB (La)

10) Coombs test

11) CT scan of abdomen

The immune mediated diseases and hormonal disorders are the prime causes of generalized manifestations affecting all the body systems, especially when the infective causes are ruled out.

Please feel free for your follow up questions.


I would be happy to assist you further, if you need any more information.


Dr. Arun