Discussions By Condition: I cannot get a diagnosis.

splotchy palms, weak/stiff hands and fingers

Posted In: I cannot get a diagnosis. 4 Replies
  • Posted By: first5
  • November 5, 2006
  • 06:51 PM

Help! can't get a diagnosis. weak and stiff fingers and hand grip in both hands; whitish mottled palms mostly under pinky and ring fingers and thumb; constant debilitating fatigue and general muscle fatigue throughout body after VERY limited activity. tender/sore feet, both sides.

Any ideas? I'm desperately looking for direction. Thanks.

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4 Replies:

  • My 11 yr old son is on day 52 of weak, stiff, swollen hands/fingers. Constant tight/dull pain, intermittent sharp needle-like pains in joints and fingertips. Was able to write, open doors etc with difficulty, now he can't even write or pull up his own pants. Cannot flex/extend fingers. Only palms and fingers involved. Palms become quite splotchy (red & white) or mottled especially with increased pain. Cheeks become flushed. Have ruled out inflammatory conditions, Fabry's disease, metabolic panel, cbc, thyroid, vit b6 and b12, brain mri, VonWillebrand, ANA, RA, streptozyme, sed rate all normal or negative. Have seen pediatric neurologist, rheumatologist and dermatologist. Waiting for results of skin biopsy, aldolase test, LDH and LFT's. Had 101 fever 9 days ago. Has been couch ridden ever since with no appetite (losing about a pound/day) and very tired, expressionless, weak. He has white blister-like bumps on pads of fingertips. Both hands equally affected, all fingers affected but bumps more prominent on middle and ring fingers. Bumps are not especially sensitive, but strange - almost as if they're fluid-filled but they're not. No hot/cold sensations altered. No response to oral steroids. Lyrica 250mg/day possibly reducing frequency and severity of sharp pains, but the tight/stiff chronic pain is still present. He is still undiagnosed and it is so frustrating because until now he has been a normal, healthy, active boy. *Did have a 3 week episode of same/similar condition in May this year. Blood tests and brain mri normal, symptoms spontaneously resolved after 3 weeks so symptoms written off as post viral. Physicians all believe the recurrence has deemed that inaccurate. So I guess we're looking for answers just like you, but if you haven't ruled out or been through the above testing that may give you somewhere to start. If bloodwork shows nothing request maybe emg/nvc or even ct scan. Unfortunately, you need to be your own advocate these days.
    Anonymous 42789 Replies
    • November 8, 2006
    • 05:53 AM
    • 0
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  • Have you heard of Henoch-Schonlein Purpura?My 11 yr old son is on day 52 of weak, stiff, swollen hands/fingers. Constant tight/dull pain, intermittent sharp needle-like pains in joints and fingertips. Was able to write, open doors etc with difficulty, now he can't even write or pull up his own pants. Cannot flex/extend fingers. Only palms and fingers involved. Palms become quite splotchy (red & white) or mottled especially with increased pain. Cheeks become flushed. Have ruled out inflammatory conditions, Fabry's disease, metabolic panel, cbc, thyroid, vit b6 and b12, brain mri, VonWillebrand, ANA, RA, streptozyme, sed rate all normal or negative. Have seen pediatric neurologist, rheumatologist and dermatologist. Waiting for results of skin biopsy, aldolase test, LDH and LFT's. Had 101 fever 9 days ago. Has been couch ridden ever since with no appetite (losing about a pound/day) and very tired, expressionless, weak. He has white blister-like bumps on pads of fingertips. Both hands equally affected, all fingers affected but bumps more prominent on middle and ring fingers. Bumps are not especially sensitive, but strange - almost as if they're fluid-filled but they're not. No hot/cold sensations altered. No response to oral steroids. Lyrica 250mg/day possibly reducing frequency and severity of sharp pains, but the tight/stiff chronic pain is still present. He is still undiagnosed and it is so frustrating because until now he has been a normal, healthy, active boy. *Did have a 3 week episode of same/similar condition in May this year. Blood tests and brain mri normal, symptoms spontaneously resolved after 3 weeks so symptoms written off as post viral. Physicians all believe the recurrence has deemed that inaccurate. So I guess we're looking for answers just like you, but if you haven't ruled out or been through the above testing that may give you somewhere to start. If bloodwork shows nothing request maybe emg/nvc or even ct scan. Unfortunately, you need to be your own advocate these days.
    Anonymous 42789 Replies Flag this Response
  • Scleraderma?
    Anonymous 42789 Replies Flag this Response
  • My 11 yr old son is on day 52 of weak, stiff, swollen hands/fingers. Constant tight/dull pain, intermittent sharp needle-like pains in joints and fingertips. Was able to write, open doors etc with difficulty, now he can't even write or pull up his own pants. Cannot flex/extend fingers. Only palms and fingers involved. Palms become quite splotchy (red & white) or mottled especially with increased pain. Cheeks become flushed. Have ruled out inflammatory conditions, Fabry's disease, metabolic panel, cbc, thyroid, vit b6 and b12, brain mri, VonWillebrand, ANA, RA, streptozyme, sed rate all normal or negative. Have seen pediatric neurologist, rheumatologist and dermatologist. Waiting for results of skin biopsy, aldolase test, LDH and LFT's. Had 101 fever 9 days ago. Has been couch ridden ever since with no appetite (losing about a pound/day) and very tired, expressionless, weak. He has white blister-like bumps on pads of fingertips. Both hands equally affected, all fingers affected but bumps more prominent on middle and ring fingers. Bumps are not especially sensitive, but strange - almost as if they're fluid-filled but they're not. No hot/cold sensations altered. No response to oral steroids. Lyrica 250mg/day possibly reducing frequency and severity of sharp pains, but the tight/stiff chronic pain is still present. He is still undiagnosed and it is so frustrating because until now he has been a normal, healthy, active boy. *Did have a 3 week episode of same/similar condition in May this year. Blood tests and brain mri normal, symptoms spontaneously resolved after 3 weeks so symptoms written off as post viral. Physicians all believe the recurrence has deemed that inaccurate. So I guess we're looking for answers just like you, but if you haven't ruled out or been through the above testing that may give you somewhere to start. If bloodwork shows nothing request maybe emg/nvc or even ct scan. Unfortunately, you need to be your own advocate these days. My son was diagnosed with non serum positive juvenille RA and I think that's what your son has. He was diagnosed Dec 2010 and has many joints involved but the hands are the worst. Please see a Pediatric Rheumatologist. Demand hand x-rays if he hasn't had them already. Given the fact that it's both sides equally affected, the fevers and the "normal" blood, it sounds like my son's experience. Idk how this works but I hope there's a way to find out how you make out. Best of luck. Btw, he's 17 now and doing pretty well with the meds they have him on. He has a 504 plan in school to help with writing assignments and missed school. He's in National Honor Society and golf team!! Hopefully soon, your son will be doing normal things again!!
    eileen81 1 Replies Flag this Response
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