Vasculitis, Internal Medicine FAQ - Page 4

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Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options

Vasculitis Hello, Doctor: Two years ago, I started experiencing redness, swelling, and warmth in my knees, sometimes in my feet, toes, and heels, and occasionally in my fingers. Most of the symptoms are located around the joints and typically resolve on their own within 2-3 days ...


Dr. Zeng Guosen Reply:
I will start with the second question. Based on the symptoms described by the internet user, it is neither vasculitis nor gout; it is likely recurrent rheumatism, also known as migratory rheumatism or paroxysmal rheumatism. Clinically, it is referred to as "3" arthritis...

[Read More] Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options


Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options

Vasculitis Hello Doctor, I have been experiencing issues with redness, swelling, and heat in my knees for the past two years. Sometimes it affects my feet, toes, and heels, and occasionally my fingers, mostly around the joints. Typically, the symptoms resolve on their own within...


Dr. Liu Hongxiang Reply:
Vasculitis refers to the inflammation of blood vessels, leading to damage and resulting in tissue hypoxia, with no definitive cause of onset. Diagnostic evaluations may include medical history, X-rays, blood tests, biopsies, and angiography. Blood tests typically include complete...

[Read More] Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options


Is It Lupus? Understanding ANA and Blood Test Results

Is it systemic lupus erythematosus? ANA 640X, WBC 3300, Eosinophils 6%, Lymphocytes 45%, Hct 37.1%, Albumin 4.64 g/dL, Globulin 3.22 g/dL, A/G Ratio 1.44, GOT and GPT normal, total bilirubin 0.96 (slightly elevated). Is this indicative of systemic lupus erythematosus?


Dr. Zeng Guosen Reply:
ANA 1:640X, WBC: 3300, with other results within normal limits. Based on the information provided in your letter, it cannot be directly confirmed as systemic lupus erythematosus (SLE). The diagnosis of SLE requires meeting at least four out of eleven clinical criteria for a defin...

[Read More] Is It Lupus? Understanding ANA and Blood Test Results


Understanding Sjögren's Syndrome: Causes, Symptoms, and Treatments

Sjögren's syndrome The English term for 謝格連氏症 is Sjögren's syndrome. Patients can develop this condition due to an autoimmune response, where the immune system mistakenly attacks the body's own moisture-producing glands, leading to symptoms such as dry mouth and dr...


Dr. Zheng Hongyi Reply:
Hello, I am Dr. Cheng. Regarding your question, the full name of Sjögren's syndrome is Sjögren's syndrome. This condition is not caused by an infection; it is a chronic autoimmune disorder characterized by abnormal immune system activity. It leads to lymphocytic infiltr...

[Read More] Understanding Sjögren's Syndrome: Causes, Symptoms, and Treatments


Rare Salmonella Infection in Father's Heart: A Critical Medical Case

My father's right heart vessel is infected with Salmonella, and his condition is critical..? My father suddenly experienced chest tightness, shortness of breath, and chills around 3:40 PM on August 12. My mother urgently took him to the New Building Hospital in Tainan. After...


Dr. Ke Zhengchang Reply:
In response to Su Wenting: Based on your description, it may be infectious vasculitis with associated aortic aneurysm. Typically, treatment involves antibiotics for two to four weeks while also managing hypertension. If there is no improvement or if the condition worsens, surgica...

[Read More] Rare Salmonella Infection in Father's Heart: A Critical Medical Case


Understanding Vascular Spasm: Causes, Symptoms, and Treatments

Vasospasm Dr. Ke: Last time I asked you about the pain point that moves with the blood vessels and has a palpable pulse, and you mentioned it might be vascular spasm. I have searched for a lot of information but couldn't find anything related, so I would like to ask you agai...


Dr. Ke Zhengchang Reply:
Hello, the causes of vascular spasms are numerous, including vasculitis, thrombosis within the blood vessels, poor function of venous valves, or consumption of stimulants such as coffee and tea. It is recommended to follow up with a cardiology clinic for further evaluation, as va...

[Read More] Understanding Vascular Spasm: Causes, Symptoms, and Treatments


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