Discussions By Condition: I cannot get a diagnosis.

Please help my 10 yr old son.

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: my3sons
  • March 24, 2009
  • 05:29 PM

Cant get a diagnosis. Still in hospital. Symtoms started 1/16 with a stomach illness (diar. fever for 2 days). by 2/5 his knee joints hurt . He had a diagnosis of uvitis, hurt when he peed. Thought it was Reiters syndrome. Then they said know. He is hlb27 positive. His fingers peeled 3 times, his toes peeled. His lips peeled. His lips burn. He sweats like crazy. He had one echo done of his heart, showed cor. arteries to be prominent. He had red pruritic rash on his elbows. Rash was on hands and feet. Then no rash. Just joint and eye pain and then chest pain, which ended up to be ulcers (he had a colonoscopy).He continues to have eye pain even though the uvitis cleared. He now has a red spider web looking rash, but only on his legs whn he walks. If I ask him to cough it appears on his chest.No one can figure this out. His lyme was equivical but then was neg. on the western blot. He did have a lone star tick on him in the summer. The mri of legs showed no swelling. His c react and sed rate are normal. His platelet count was slighty low. He has on and off protein iand mucus in his urine. Urine is now clear. I have e meeting with all his docs at the hospital tonight. I want to be armed with questions because they want to release my son. he is no tbetter. Please help.

Reply Flag this Discussion

3 Replies:

  • The HLB27 positive assay can represent the presence of a number of rheumatic diseases, but you should be aware that a positive assay does not mean that disease is present and furthermore, the majority of persons for whom the assay returns positive never develop symptoms of disease. It is merely a fact that in persons with AS or similar disease, a positive result is observed in about 90% of cases. What comes to mind that may or may not have been checked is acute mastocytosis, wherein a proliferation of mast cells can produce symptoms similar to those described. The spider-vein rash you are describing is actually a phenomenon known as telangiectasia and can appear virtually anywhere in connection with certain disorders. Because of the pattern of symptoms, although he is a bit late in years for onset, kawasaki syndrome would not be out of the realm of possibilities. Those are two differentials that readily come to mind, but a normal CRP and sed rate would tend to make it somewhat less likely but not impossible. Incidentally, I would ignore the spam from the posting in response to your inquiry and I've admonished this individual countless times about preying on parents of children in medical crisis. There is nothing of your son's symptoms that would suggest Lyme disease and a negative western blot would be sufficient to rule it out. The underlying motive is to try and pressure you into joining a website that seeks money and will in all likelihood empty your wallet with hopes of tests that will find the cure. I'm sure you realize that it's not the response of a medical doctor or even someone with medical training. Be wary. Best regards, J Cottle, MD
    JCottleMD 580 Replies Flag this Response
  • Cant get a diagnosis. Still in hospital. Symtoms started 1/16 with a stomach illness (diar. fever for 2 days). by 2/5 his knee joints hurt . He had a diagnosis of uvitis, hurt when he peed. Thought it was Reiters syndrome. Then they said know. He is hlb27 positive. His fingers peeled 3 times, his toes peeled. His lips peeled. His lips burn. He sweats like crazy. He had one echo done of his heart, showed cor. arteries to be prominent. He had red pruritic rash on his elbows. Rash was on hands and feet. Then no rash. Just joint and eye pain and then chest pain, which ended up to be ulcers (he had a colonoscopy).He continues to have eye pain even though the uvitis cleared. He now has a red spider web looking rash, but only on his legs whn he walks. If I ask him to cough it appears on his chest.No one can figure this out. His lyme was equivical but then was neg. on the western blot. He did have a lone star tick on him in the summer. The mri of legs showed no swelling. His c react and sed rate are normal. His platelet count was slighty low. He has on and off protein iand mucus in his urine. Urine is now clear. I have e meeting with all his docs at the hospital tonight. I want to be armed with questions because they want to release my son. he is no tbetter. Please help. What does it mean that his lyme was equivical? I don't understand please explain. I assume they never found bacteria or blood in his urine - is this correct? What medications was he originally prescribed for his initial illness? Was he prescribed any antibiotics? did they ever do a stool exam to determine the cause of the original diarrhea?Best wishesDOM
    acuann 3080 Replies Flag this Response
  • he seems to have reiter disease , but let the doctors check or autoimmune disease or vasculitis
    clinic 10 Replies Flag this Response
Thanks! A moderator will review your post and it will be live within the next 24 hours.