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Hello Walter,I am Dr. Arun and will be helping you today.
I am sorry about your significant symptoms for long.
Were any investigations like MRI done for your shoulder pain? What are the treatments done for it?
Could you please post a photo of your spots on calves. You may do it as following;1. Click the paperclip icon2. Click the Browse icon3. Click the Browse button4. Select your file and click Open5. Click OK6. Click Insert7. Click Save Changes on this pageThis is just an information request. I would be able to give you an answer once you reply to it.
Thanks for the photos.
The hands lesions are because of emphysema. The oxygen levels of peripheries remain decreased in this medical condition. That causes skin erosion and secondary infections. The secondary infections are controlled by the various creams you use but there is recurrence due to lack of skin integrity (decreased oxygen flow at the distal part of the body / limbs predispose for skin to wear and tear easily again and again).
The medications you may be taking (especially if you are on oral or inhalation steroids), too decrease the skin integrity and capillary blood flow to the distal parts and responsible for the recurrent lesions.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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