Other Possibilities...

Hi, I just posted about maybe having Raynaud's.  Is there any other possibilites other than Raynaud's or Sclreoderma?  I haven't had any espisodes since last winter.  Also with my feet I remember that even the heels (especially when I was wearing boots) of my feet would feel numb but would go back to normal after getting off my feet.  Could it have something to do with nerves or anxiety?  Do I have a great chance of having Scleroderma without having any other symptoms after a year now?  To have Scleroderma does Raynaud's have to occur in either both hands or both feet?  I have read numerous wed sites that have stated that to have Scleroderma, Raynaud's shows as being in either both hands or both feet. To have primary Raynaud's meant having in both hands and both feet at same time. I have also read that Scleroderma, Raynaud's shows as having hand and feet on one side only.  Honestly, I can't remember if it was in both hands and feet at same time or both hands and one foot, etc...  I guess I would just like to know what other possibilites there might be other than Scleroderma.  I can deal with it if it just primary Raynaud's.  Please help clairify (mispelled?) and if there might be any other possibilities.  I'm so terrified!!!!!!!!!!!!!!!!!!!!!!!!

[Kevin Pho, MD]

Without examination, it is difficult to predict the possibility of scleroderma.  The blood test for the suggested autoantibodies (see the prior answer) will help with the diagnosis.  

Other possibilities can include other rheumatological diseases like lupus or rheumatoid arthritis.  An ANA level and rheumatoid factor can help narrow down the causes.  

I would suggest a rheumatology referral at this time to evaluate the symptoms.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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