40 yr old female. Diagnosed with vitiligo 2 yrs ago.
Was told it was not associated with other autoimmune disorders, although I have since learned that it is sometimes. No tests were done, just visual diagnosis. Was given topical steroids. No effect. Spreading, though mainly on hands and face still.
Have since developed new symptoms and other symptoms that have been mild and / or intermittent for years have gotten worse. Not sure how to proceed.
Worsening symptoms:
Fatigue (now getting rather extreme, even after seemingly a long sleep).
Small (2 - 10 mm) red (non-itchy) flat, flaky or scaly patches on peripheral limbs (esp. legs) that do not respond to topicals of any kind. Now appearing on face.
Lower back pain
GI dismobility (usually constipation despite lots fiber water and exercise), sometimes diarrhea.
Also general abdominal discomfort (tender), sometimes more painful. (Was diagnosed “symptomatically” with endometriosis a number of years ago but nearly continual use of birth control pills control those symptoms very well.
Sleep disturbances.
Nausea
New symptoms:
Leg pain (almost exclusively left side) sometimes with coldness of limb (verified by husband) followed by "release" to tingling "hot" sensation (like stepping into a hot shower after being in the cold). This occurs always in left leg and is sometimes help by topical calculates.
Leg pain is sometimes accompanied by erthymas (rash like or "vascular" patterned); again left side.
General feeling of "illness" e.g.: tired, general muscle ache and muscle fatigue, intermittent sore throat, running nose and watery eyes - like I'm always fighting something off but it never gets very bad.
Occasional shortness of breath
Temperature dis-regulation (hot cold chills).
Headaches
Increase of B12 seemed to help skin, muscle pain, erthymas and fatigue for a bit, but not as much anymore.
The symptoms are so wide spread and non-specific I really don’t know if there is anything else really wrong or if I should be worried. Or if they could be associated with the vitiligo or another autoimmune problem.
What tests do I need? What type of doctor should I go to?
(Other fact: sero-converted for TB (skin test postive, chest Xray negative, symptoms negative about 12 years ago while working in a hospital. 6 months propylatic antibiotic treatment - no problems).
Thanks for any advice.