This is Dr. David
it sounded like you most likely had mononucleosis infection when you were 16
your symptoms don't sound like sarcoidosis
you should get testing to check for hepatitis liver infection.
swollen finger joints should be checked for gout and jeuvenile rheumatoid arthritis.
there are specialist blood testing for that.
Thank you for your prompt reply, I was checked for hepatitis at the time, and have regular blood tests due to my profession, so i know that 3 months after i became ill that time, my liver function returned to normal, and i have had no ill effects since.
they have checked my blood for since for rheumatics, both this week, and in the past when i have had similar problems, with nothing found
sarcoids often can cause excessive scar tissue in the lungs
as for gout, i have no idea, but this would only fit the symptoms for my hands i think no?
you might want to get a chest CT scan
gout testing would be a uric acid level test.
i had full urines done last week
as part of my routine work tests
they were all fine
i dont know much about gout, but i have been a lifelong vegetarian, so never really thought it could apply to me
have you had a chest CT scan ?
no, i havnt. ive had 2 bad cases of bronchitis in the last 2 years, but never had a CT
sarcoidosis often deposits scar tissue in the chest and enlarges lymph nodes in the chest as well.
is it possible that it could be sarcoid that just hasnt got around to the lungs yet?
there is a chance of that possibly.
but you won't know until you get a chest CT scan
but from what i know about sarcoid, its symptoms are caused by granulomas, so there should be some somewhere
ok,thank you very much
ill suggest that to my doctor
who will refer me to another doctor,
who wil refer me to a specialist
who will refer me to a CT clinic
Italian system is interesting at times
yes, I know.
it might be easier for you to just start off with a chest xray
which is less expensive.
both are covered by my medical insurance, so its neither here nor there to me, as long as it is requested by a doctor
and i work with radiation, so any cahnce to avoid x-rays is better
Many thanks!, have a good weekend