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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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My daughter has been having a on and off fever for the last

Customer Question

My daughter has been having a on and off fever for the last 2 weeks. Sometimes very high, but most of the time low grade. Has had a rash on her face for about 3 months. She thought it was Rosacea, but it not. Her blood work shows anemia ( low MCV and MCH and high RDW) as well as a ALT number that has increased from 42 to 75 in two days. Her ALT is high, AST high, CReative Protein high. They have ruled out hepatitis and she is thinking maybe lupus. Any thoughts?
JA: How long have you been dealing with this issue? Any other skin concerns?
Customer: the fever just a couple of weeks. No other skin concerns that I know of
JA: Anything else in your medical history you think the doctor should know?
Customer: She had kawasaki's at age 5
Submitted: 1 month ago.
Category: Medical
Expert:  Dr. David replied 1 month ago.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 1 month ago.

how old is she? she could have a viral infection.

there are blood test to check for lupus including ANA, ESR, C reactive protein,

antibodies to double-stranded DNA (anti-dsDNA) tests,
antibodies to histone tests,
antibodies to phospholipids,
antibodies to Ro/SS-A and La/SS-B,
antibodies to Sm target Sm proteins in the cell nucleus,
antibodies to RNP target ribonucleoproteins

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