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I am worried that I have dermatomyosits. Can you help by…

Customer Question
Hi. I am worried...

Hi. I am worried that I have dermatomyosits. Can you help by looking at pictures?

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

All I have is bumps on my knuckles. Nothing else. No other rash or symptoms. I went to a dermatologist and she thinks it is more likely a dermatitis but it's weird that it's mostly on the knuckles. Does that happen when it's mostly on knukcles and be dermatitis?

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I'm a 22 year old male

Submitted: 11 months ago.Category: Medical
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Answered in 18 minutes by:
9/10/2017
Doctor: Dr.Saleem, Doctor replied 11 months ago
Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 3,553
Experience: MBBS
Verified

Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

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Doctor: Dr.Saleem, Doctor replied 11 months ago

Please share the pictures

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Customer reply replied 11 months ago
I will send pictures of the rash when it first appeared and what it is now
Customer reply replied 11 months ago
I have been using betamethasone since Tuesday
Doctor: Dr.Saleem, Doctor replied 11 months ago

Ok

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Customer reply replied 11 months ago
https://mail.google.com/mail/u/0/?ui=2&ik=ecf40872eb&view=fimg&th=15e6d54bd8b4b1af&attid=0.2&disp=emb&realattid=15e6d5461355425ed2c3&attbid=ANGjdJ9utahE1KyOTSwRBynzX1ezO_73tYL57DZTYBjfYQ8AQPim_FB0SApj177Ies_dAia8LeYEs7iiwYGwp2U3CtcBDkKjRjZM75531iLwZn7TB8pJXX6lv_Icvrg&sz=s0-l75-ft&ats=1505072833257&rm=15e6d54bd8b4b1af&zw&atsh=1
Customer reply replied 11 months ago
It will not let me send the pictures
Customer reply replied 11 months ago
https://mail.google.com/mail/u/0/?ui=2&ik=ecf40872eb&view=fimg&th=15e6d54bd8b4b1af&attid=0.1&disp=emb&realattid=15e6d53ebd1881c70261&attbid=ANGjdJ_ZJqmzyOiY400-Ykry4TOzKzE94zDgsO73kBx7TeD5zpyXQE6DniKESPZWJY7Hay2ANlIwTYn1VtZ9sFkG8POYyKwl634wssAPOPoKLcKDyE93upA_rau5HD8&sz=s0-l75-ft&ats=1505072833257&rm=15e6d54bd8b4b1af&zw&atsh=1
Customer reply replied 11 months ago
Can you see them?
Doctor: Dr.Saleem, Doctor replied 11 months ago

Unfortunately the link doesnt work. You can attach photos by clicking the clip pin above your writing field

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Customer reply replied 11 months ago
It says that the file is too large
Doctor: Dr.Saleem, Doctor replied 11 months ago

Yes but you can share in dropbox may be

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Customer reply replied 11 months ago
Is there a place I can email them? It says that there is only a 5 mb limit and they are 13 mb
Doctor: Dr.Saleem, Doctor replied 11 months ago

You may email me at***@******.***

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Customer reply replied 11 months ago
I sent them over. Let me know if you would like to see the left hand.
Doctor: Dr.Saleem, Doctor replied 11 months ago

Well the rash does look like the one we see with dermatomyositis. Have you had any tests done ? Like muscle enzymes, Autoimmune profile , chest xray etc ?

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Customer reply replied 11 months ago
I am having a biopsy on tuesday
Customer reply replied 11 months ago
You think it could be that even though it has gotten significantly better?
Customer reply replied 11 months ago
That progress was 9 days and 5 days of taking betamethasone
Doctor: Dr.Saleem, Doctor replied 11 months ago

If it did respond to steroids topical application, that goes with dermatomyositis too. However there are a lot of other skin conditions that improve with topical steroids so not very specific. Biopsy gives us definitive diagnosis usually so thats the right way to go. Besides you can get blood work done which should include ;

ESR , CRP

ANA, ENA esp Anti Jo1 Antibodies

Chest xray

Muscle enzymes.

I hope this was helpful.

Let me know if you need any further help

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Doctor: Dr.Saleem, Doctor replied 11 months ago

I wish you all the best.

Please reward a 5 stars rating if you are satisfied.

Wishing you a healthy life.

Kind regards

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Doctor: Dr.Saleem, Doctor replied 11 months ago

You may ask if there is anything in your mind

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