Here are the symptoms:
keratoconjunctivitis, positive Schirmer test
ankle edema, left side predominant
pronounced veins (recent onset)
one-time incidence of pale grey stool
gingivitis, hx of periodontal disease
Negative for lupus, Sgogren's Lyme, antiphospholipid, thyroid. ANA high end of normal, then recently retested, now normal. CRP normal.
Elevated HDL 21 points above the high end of the range; slightly elevated overall lipids (but normal LDL, triglycerides). Taking 4g fish oil daily for symptom control of dry eye.
Awaiting carcinoid urine result.
Familial hyperalphalipoproteinemia possible.
What am I missing? Other dx you might think of...?
All help appreciated.
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