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Questions posted in the
Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.
Question Title: Allergies & autoimmune responsesForum: Neurology Forum
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I would like to know if an increase in allergy symptoms and allergic reactions is a clue to autoimmune disease or HIV. I posted a very long message in the general neurology forum and fear that I may have been too long winded to receive a response. I am also concerned about the relationship between sinus & nasal allergies and neurological disturbances. For further reference,my complete list of symptoms and questions appears in the general neurology forum dated 01-08-99.
Dear Anne: I have read you earlier posting. Your case is quite complex. Without the opportunity of seeing in consultation, I do not think we can offer you any definite suggestions. Based on the information available, I would think that your symptoms are quite non-specific and do not seem to amount to any real neurological diagnosis. In contrast, they quite precisely match the criteria of somatization disorder, which is a psychiatric diagnosis. I do not see a mention of a recent lumbar puncture in your note. As a rule, meningitis is not diagnosed in the absence of documentation of an abnormal cerebrospinal fluid. I see no reason to suspect that you have any neurological involvement from HSV-2 genital infection. I do not think your symptoms can be attributed to allergies, sinusitis, or amalgam fillings. If neurological and infectious disease evaluations from academic institutions have not yielded a definite cause of your symptoms, serious consideration of an underlying psychiatric disorder (stress-related or otherwise) would be most appropriate. Good luck!
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