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Neurology  (Expert Forum)
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Why is this only happening to me it seems?
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Why is this only happening to me it seems?

by chandleur2, Feb 20, 2005 12:00AM
For the past 3 weeks I have been experiencing an intense sensation on my skin (upper torso only).  It's like having a sunburn, but without the burn.  My skin feels like its on fire all the time, and at times I've had episodes where my "inner core" seems to really heat up and then it comes radiating out of my skin.  I have almost passed out on 2 occassions.  Over the past week the heat has subsided a bit, but is still there.  I had episodes at 2AM or 3AM where I would have an intense heat attacks and not be able to sleep.  I haven't had one in 3 days, but am very hot when I wake up in the morning and it takes a bit to cool down at all.  I have also experienced a severe loss of appetite in the morning (forcing myself just to get some cereal down) and have had bouts with sleeplessness and some nausea.  Within the last day or so I had what I guess you'd call an anxiety attack and started my period yesterday. (I have never had a panic attack before).Right now I have been to my family doctor and internal medicine doctor and no one has any idea what this could be.  Have you heard of anything like this before?  I'm only 31.  This all started on January 30 with a rash on my throat and chest and when it wasn't better by February 1, I went to the family doctor and he perscribed me a 5-day course of Prednisone.  The rash went away, but during the time I took the Prednisone until now I have experienced these symptoms.  Any advise or help would be GREATLY appreciated!

by CCF-Neuro-M.D.-CS, Feb 22, 2005 12:00AM
I cannot give a clinical diagnosis over the internet



Its not clear to me that you have a primary neurological disorder



Several conditions can give rise to the skin changes you have experienced, which you may or may not have - I cannot tell without seeing you, and I am not an expert in these conditions



Carcinoid syndrome is a condition where circulating hormones released by various tissues or growths in the body can produce a transient (or fixed when more advanced) sensation of heat and usually a red rash, and could also produce anxiety. Urine testing for specific hormone metabolites can evaluate this. An overactive thyroid gland should also be looked into - can cause a rash, anxiety and heat intolerance. Some forms of porphyria (a disturbance of iron metabolism) can produce transient rashes that are sensitive to light, and may produce anxiety or similar eractions. Its unlikely that these are seizures if they last so long. Again some specific urine and blood testing can be done.



These are just some suggestions, and should not take the place of a consulatation, which you should have with an expert, for instance, endocrinologist
Member Comments (2)

by chandleur2, Feb 20, 2005 12:00AM
I also wanted to add that I don't have a fever with these symptoms and all of the initial blood tests have come back negative.  They are still waiting on 2 to come back but feel those are negative as well.  Where do I go from here?
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