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Dr. David
Dr. David, Board Certified MD
Category: Medical
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Experience:  Board Certified Physician
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Hi Im currently living abroad, and finding it difficult

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Hi

I'm currently living abroad, and finding it difficult to get english speaking medical appointments.

My query is relating to Sarcoidosis, and whether this could be a possible diagnosis.

to rush through medical history, i am currently 28. i have always had loose joints and have been treated on and off for related joint pain with anti-inflamatories

at 16 i had some kind of chronic fatigue syndrome leaving me fairly immobile for 6 months.

at 18-19 i had an enlarged lymph gland in my neck which was initially investigated for non hodgkins lymphoma and was diagnosed after investiagtion as simly being inflamed and enlarged. this took about a year to fully resolve

at 20 i had a bout of acute iritis, this has recurred once since. At this time it was suggested by a specialist that i should be aware of sarcoid. resolved in around a month

at 26 i was diagnosed with an inflamed liver, which was supposed to be viral, but no firm cause was confirmed. resolved in 3 months

at 26 i woke up one morning to find the joints in my fingers to be swollen and painful. this resolved in 1 week

last week i woke again with the joints in my fingers swollen and painful, and went to a doctor where an exam revealed my abdomen was tender and he diagnosed me with gastritis also. blood tests have, as usual, come back normal. after 4 days the hands seem better.

over the past year, i have been having on and off pins and needles and a few other little bits and pieces.

Would these symptoms be consitent with sarcoid? or any other condition? Dont worry, im not a crazy nut who will take your opinion as a full medical diagnosis :) just trying to handle health matters in a foriegn country and language can be quite stressful, and if there were some pointers i can give to the doctors here, that would be great

Dr. David :

This is Dr. David

Dr. David :

it sounded like you most likely had mononucleosis infection when you were 16

Dr. David :

your symptoms don't sound like sarcoidosis

Dr. David :

you should get testing to check for hepatitis liver infection.

Dr. David :

swollen finger joints should be checked for gout and jeuvenile rheumatoid arthritis.

Dr. David :

there are specialist blood testing for that.

Customer:

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.

Customer:

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

Dr. David :

I see.

Dr. David :

sarcoids often can cause excessive scar tissue in the lungs

Customer:

as for gout, i have no idea, but this would only fit the symptoms for my hands i think no?

Dr. David :

you might want to get a chest CT scan

Dr. David :

gout testing would be a uric acid level test.

Customer:

i had full urines done last week

Customer:

as part of my routine work tests

Customer:

they were all fine

Customer:

i dont know much about gout, but i have been a lifelong vegetarian, so never really thought it could apply to me

Dr. David :

have you had a chest CT scan ?

Customer:

no, i havnt. ive had 2 bad cases of bronchitis in the last 2 years, but never had a CT

Dr. David :

sarcoidosis often deposits scar tissue in the chest and enlarges lymph nodes in the chest as well.

Customer:

is it possible that it could be sarcoid that just hasnt got around to the lungs yet?

Dr. David :

there is a chance of that possibly.

Dr. David :

but you won't know until you get a chest CT scan

Customer:

but from what i know about sarcoid, its symptoms are caused by granulomas, so there should be some somewhere

Customer:

ok,thank you very much

Customer:

ill suggest that to my doctor

Customer:

who will refer me to another doctor,

Customer:

who wil refer me to a specialist

Customer:

who will refer me to a CT clinic

Customer:

haha

Customer:

Italian system is interesting at times

Dr. David :

yes, I know.

Dr. David :

it might be easier for you to just start off with a chest xray

Dr. David :

which is less expensive.

Customer:

both are covered by my medical insurance, so its neither here nor there to me, as long as it is requested by a doctor

Customer:

and i work with radiation, so any cahnce to avoid x-rays is better

Customer:

Many thanks!, have a good weekend

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