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Neurology (Expert Forum)
Tremors, finger nail hemmorhages, conginitive dysfunction, numbness, rash
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Tremors, finger nail hemmorhages, conginitive dysfunction, numbness, rash
by inmemoryofdad, Jun 05, 2006 12:00AM
Hello,
I have been dealing with chronic fatigue and "spells" for 15 years since I had mono. This year, my "spells" have gotten more frequent and I have many more symtoms and much worse. I always have chronic fatigue, no matter if I'm in a spell or not. But the symptoms I deal with in a spell are bad congitive dysfunction (lose my sense of time, peripheral awareness, short term memory). When it gets really bad, I quit driving becuase I pulled out in front of cars twice this year.I deal with mild muscle aches and joint pains that seem to be getting worse, mild tingling in my head, blackouts occassionally as I stand up and begin to walk, muscle jerkiness in my arms and head that come and go, tremors, slight numbness in my arms and hands, splinter hemmorhages under my fingernails, weight loss. I also have a rash since January that looks like ringworm. I was treated with dyfucan and it had no affect. I use a steroid creme on them and it takes the reddness out but I can tell the rash is still there. They are on my arms, breast and legs. They are flaky and circular. They tend to get larger without the steroid creme. I have tender sores (bumps)on my fingers and palms of my hands that are deep under the skin. They last for several days and then leave a small circle of dry skin. Blood work and lupus panel all ok. Being sent to neurologist. Is that the right Dr. I need to see? Have any suggestions on what may be going on with me? My Dr. is puzzled and says she can tell I am sick but really has no clue. This is very hard on my family as they do not understand how I feel. Thanks!
I have been dealing with chronic fatigue and "spells" for 15 years since I had mono. This year, my "spells" have gotten more frequent and I have many more symtoms and much worse. I always have chronic fatigue, no matter if I'm in a spell or not. But the symptoms I deal with in a spell are bad congitive dysfunction (lose my sense of time, peripheral awareness, short term memory). When it gets really bad, I quit driving becuase I pulled out in front of cars twice this year.I deal with mild muscle aches and joint pains that seem to be getting worse, mild tingling in my head, blackouts occassionally as I stand up and begin to walk, muscle jerkiness in my arms and head that come and go, tremors, slight numbness in my arms and hands, splinter hemmorhages under my fingernails, weight loss. I also have a rash since January that looks like ringworm. I was treated with dyfucan and it had no affect. I use a steroid creme on them and it takes the reddness out but I can tell the rash is still there. They are on my arms, breast and legs. They are flaky and circular. They tend to get larger without the steroid creme. I have tender sores (bumps)on my fingers and palms of my hands that are deep under the skin. They last for several days and then leave a small circle of dry skin. Blood work and lupus panel all ok. Being sent to neurologist. Is that the right Dr. I need to see? Have any suggestions on what may be going on with me? My Dr. is puzzled and says she can tell I am sick but really has no clue. This is very hard on my family as they do not understand how I feel. Thanks!
Doctor's Answer
by CCF-Neuro-M.D.-PW, Jun 11, 2006 12:00AM
I cannot give you a formal medical opinion over the internet unfortunately as this site is purely educational
It may be useful to see a neurologist. The symptoms you describe are not specific for any one primary neurological disorder but a neurologist could evaluate a number of possibilities, for example, sleep apnea is often underdiagnosed and can result in daytime sleepiness and cognitive dysfunction. Obstructive sleep apnea can be effectively treated with resolution of symtpoms. They may be able to evaluate whether these spells could be medication or drug related, rule out a neurodegenerative disorder, and evaluate for possible seizures which can result in intermittent periods of confusion. A good history of your symptoms by a neurologist should be able to differentiate between all of the above
Good look
It may be useful to see a neurologist. The symptoms you describe are not specific for any one primary neurological disorder but a neurologist could evaluate a number of possibilities, for example, sleep apnea is often underdiagnosed and can result in daytime sleepiness and cognitive dysfunction. Obstructive sleep apnea can be effectively treated with resolution of symtpoms. They may be able to evaluate whether these spells could be medication or drug related, rule out a neurodegenerative disorder, and evaluate for possible seizures which can result in intermittent periods of confusion. A good history of your symptoms by a neurologist should be able to differentiate between all of the above
Good look
Chris
I am sorry you are dealing with this, good luck to you.