Welcome to JA.
I understand you concern
Please, tell you what part of the nose the sore is located?
Is it ulcerated - I mean an opening to it?
Did you say that is much bigger now?
Is it painful?
I await your reply. Thanks.
Thank for your reply.
It appears that this nose lesion should to re-evaluated carefully now - it is suspicious for cancer. There needs to be a repeat biopsy. I'm surprised that your doctor had not made attempt to get you back for follow-up biopsy and examine since 1 year ago. With the pathological result of acinic keratosis ( a pre-cancerous lesion), the doctor should follow-up with the lesion closely.
I suggest that you see your doctor as soon as you can. Cancer needs to be excluded. If caught early, it would make a world of difference. Please, do not delay.
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This is information only and should not to substitute for the recommendation of your doctor.
Thank you for your reply.
Please, can tell you about the diagnosis of the gum problem?
Is there a sore in the gum? How long ago?
Any respiratory problem in the airway or lungs?
Any kidney problem?
What medications are you taking?
I await your reply. Thanks
Please, the questions I just asked you in the previous mail would help me in analysing the relatedness of the gum problem to the growth of the nose lesion. There are few autoimmune vascular disorder that can manifest in the nose, lung and kidney.
So, your answer would help me address you last question. I just want to be complete for my answers. God bless, I await your reply.
I did not hear abck from you, so I have prepared an additional response to your question.
Since the nose lesion was biopsied and determined to be actinic keratosis, any worsening of such lesion is very suspicious. However, if you have a pre-existing auto-immune disorder, that can make the possibility of actinic keratosis growing more likely. However, it does not lessen that likelihood of the actinic keratosis been pre-cancerous. Please, this caution is not intended to sadden you, but note that this is a cureable problem if addressed early.
You raised the issue of gum problem from autoimmune problem. Detailed investigation does not support a direct relationship between the two, except that the presence of autoimmune disorder can make your body more sensitive to sunlight, which would in fact cause actinic keratosis to worsen. So, the doctor should even be more aggressive in following your actinic lesion with your history of autoimmune problem.
I trust the you will seek re-evaluation and biopsy as soon as possible. With prompt attention, you will do very well.
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Thank you so much, and God bless.