Discussions By Condition: I cannot get a diagnosis.

Dr does not know...anyone have any ideas?

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: momiam2six
  • November 29, 2008
  • 05:01 PM

HI,
I am a 39 yr old female. I have had pain in my thumbs for about 3 years now that I have just chalked up to arthritis begining.
I am in extreme pain most of the time now.
My symptoms are
fatigue, severe anemia, bone pain in my upper arms, upper legs, hips, big toes (weird huh lol).
After my last set of bloodwork the dr said it is not rhumatic, and not arthritis.
He also said I had some target cells which is abnormal.
Over the past 2 weeks my pain has become extremely worse. I went for more bloodwork wednesday....nine vials...yuck!
I suppose he will call me when the results get in, the nurse said some of the tests could take 4 or 5 days to do the testing on it.
So does noyone have any idea what it all could be?
Thanks
Louise

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3 Replies:

  • HI, I am a 39 yr old female. I have had pain in my thumbs for about 3 years now that I have just chalked up to arthritis begining. I am in extreme pain most of the time now. My symptoms arefatigue, severe anemia, bone pain in my upper arms, upper legs, hips, big toes (weird huh lol). After my last set of bloodwork the dr said it is not rhumatic, and not arthritis. He also said I had some target cells which is abnormal. Over the past 2 weeks my pain has become extremely worse. I went for more bloodwork wednesday....nine vials...yuck!I suppose he will call me when the results get in, the nurse said some of the tests could take 4 or 5 days to do the testing on it. So does noyone have any idea what it all could be?ThanksLouise Have you ever had a nerve conduction test done. It could be trigger thumb.
    imblessed 5 Replies
    • November 30, 2008
    • 00:04 AM
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  • Gout or Pseudo gout are possibilities.
    nckmorris 53 Replies
    • November 30, 2008
    • 02:03 AM
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  • Your symptoms require some clarification. You've stated that your thumbs have been hurting for 3 years. What about the "bone" pain in your arms, hips, legs and toes, as well as the fatigue and anemia? Have these symptoms all appeared more recently or has the entirety of your symptoms been present for 3 years? In addition, do your thumbs hurt on flexion or movement or do they throb even in the absence of movement? Is the same true for your hips, legs and toes? In other words, is there a period where the pain subsides or is it a constant type of pain? Although you state that you're in pain most of the time, clarification here is important. Also, does the pain center upon the joints or do you feel it throughout the long bones? Whether the pain is at the level of the joints and expressed primarily on movement or more constant throughout the long portion of the bones in your arms and legs will help differentiate it from something like gouty arthritis. Also, your symptoms would be inconsistent with a trigger finger, known as stenosing tenosynovitis, which would not require an EMG for diagnosis since the condition has absolutely nothing to do with nerve conduction. Target cells are associated with both hematological and immunological function, but since your doctor made reference to it from a mere chem 7 panel, he's likely referring to the hematological version which are more formally known as codocytes. This is most likely related to the anemia you mentioned. My suggestion here is that unless the physician you are now seeing is a hematologist, then a referral would be wise in addition to other testing being considered, particularly to evaluate the anemia from the level of marrow production or stem-cell lines. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • November 30, 2008
    • 01:18 PM
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