Discussions By Condition: I cannot get a diagnosis.

Muscle atrophy, ringing ears, difficulty swallowing?

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: Anonymous
  • May 18, 2009
  • 03:55 AM

My father is 58 years old, and for some time now he has shown signs of:'
-muscle atrophy
-ringing in ears
-difficulty swallowing

These symptoms have only worsened and progressed farther over the past few years, but whenever my dad visits a doctor the doctor only says, "oh, you're fine." I was thinking it could be spinal muscular atrophy, bulbospinal muscular atrohy or amyotropic lateral sclerosis, but at my request my father was tested for those diseases and the results were negative.

Is there a way an MRI or other test would fail to detect those diseases, or are there any other possible diagnosis I could be missing?

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3 Replies:

  • All of these things can be autoimmune in nature. My advice is to get him to a rheumatologist and request a test of his antinuclear antibodies. If that is positive, work from there. The difficulty swallowing is particularly suggestive of CREST scleroderma. I have CREST scleroderma, and I think so did my Dad. Both of us have/had the difficulty swallowing and ringing in the ears. Dad also had muscle atrophy (polymyositis/dermatomyositis can often be seen in conjuction with scleroderma).Neither of us had the skin hardening and finger distortion usually thought of with CREST. My fingers are just mildly thicker than they used to be, but still look basically norma. If his ANA is negative, I'd like to suggest that you insist on the anticentromere B antibody test and SCL-70, even if the ANA staining pattern is other than nucleolar or anticentromere. Most of the time mine was speckled or homogeneous, so that delayed the docs doing the anticentromere test for 12 years! Nevertheless when finally they did it, the anticentromere antibodies came out 230, where over 99 is abnormal!
    DaisyDo 13 Replies Flag this Response
  • I have those same symptoms and i have fibromyalgia, which is a hyperactive autonomic nervous system. See a rhematologist.
    Anonymous 42789 Replies
    • January 21, 2010
    • 04:32 AM
    • 0
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  • I have those same symptoms and i have fibromyalgia, which is a hyperactive autonomic nervous system. See a rhematologist.Unregistered, maybe you, too, should get back to a rheumatologist, who will do an anticentromere b test! Too often fibromyalgia is diagnosed without doing all the proper tests to exclude other rheumatalogic disorders. Initially, I, too was misdiagnosed as having fibromyalgia!
    DaisyDo 13 Replies
    • January 22, 2010
    • 01:08 AM
    • 0
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