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Dermatology (Expert Forum)
plaque-like mucinosis (reticular erythematous mucinosis)
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.
plaque-like mucinosis (reticular erythematous mucinosis)
by Tammy, Aug 26, 2000 12:00AM
I have had these odd rashes for about 10 years along with intermittant weakness, fatigue, finger tip pains, low grade fever, and shortness of breath amongst other strange symptoms. I finally had one of the rashes biopsied and the differentials were lupus erythematous, tumid lupus or plaque-like mucinosis. The dermatologist felt the histology looked more like the Plaque-like mucinosis because of the mucin deposition. I myself thought symptom wise it acted more like Lupus but I was told that skin involvement lupus doesn't have any symptoms anyways.
My question is can either of these conditions cause the other symptoms I experience? And if so how can I convince anyone of the legitimacy of my complaints?
The only abnormalities in my blood work is high C-Reactive proteins, mildly low lymph counts and percents, mildly low nuetrophils, mildly high monocytes and on one occasion extremely high eosiphinils. All other standard lupus tests were returned negative and I am now at a stale mate...feeling pretty crumby most of the time with no other suggestions then to see the psychiatrist.
One more note I also have a diagnosis of polymorphic light eruption.
Any suggestions or opinions would be greatly appreciated
Thanks Tammy
My question is can either of these conditions cause the other symptoms I experience? And if so how can I convince anyone of the legitimacy of my complaints?
The only abnormalities in my blood work is high C-Reactive proteins, mildly low lymph counts and percents, mildly low nuetrophils, mildly high monocytes and on one occasion extremely high eosiphinils. All other standard lupus tests were returned negative and I am now at a stale mate...feeling pretty crumby most of the time with no other suggestions then to see the psychiatrist.
One more note I also have a diagnosis of polymorphic light eruption.
Any suggestions or opinions would be greatly appreciated
Thanks Tammy
Doctor's Answer
by Alan Rockoff, MD, Aug 27, 2000 12:00AM
, Aug 27, 2000 12:00AM
That's a tough one, Tammy.
So-called "connective tisue diseases," including lupus, can be hard to pin down to a specific diagnostic category. Also, symptoms associated with them can be hard to specify as "physical" or"psychological." As a dermatologist, I usually defer in these matters to rheumatologists, who are more conversant with exotic variants of conective tissue disorders and the complex blood tests used to diagnose them. You may also want to seek psychological help--whether your symptoms are "caused" by lupus or are merely the effect of havoing the physical symptoms, you still need to deal with them.
Good luck.
Dr. Rockoff
So-called "connective tisue diseases," including lupus, can be hard to pin down to a specific diagnostic category. Also, symptoms associated with them can be hard to specify as "physical" or"psychological." As a dermatologist, I usually defer in these matters to rheumatologists, who are more conversant with exotic variants of conective tissue disorders and the complex blood tests used to diagnose them. You may also want to seek psychological help--whether your symptoms are "caused" by lupus or are merely the effect of havoing the physical symptoms, you still need to deal with them.
Good luck.
Dr. Rockoff
