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Chronical and aseptic inflammation of upper arm

Since nearly a year, my upper arm (near theshoulder) is inflammated chronically (inside the bone: observed by scan). The fluid created by the inflammation is so important that it formed which leads from my teh upper arm bone to my skin (again visible on the scan). From the "opening" (wound) which has been created in my arm "by teh liquid trying to get out", this inflammatory liquid is "leaking out" permanently. There are no bacteria.
After a couple of weeks, the liquid which has been accumulated in the tissues has been sufficiently evacuated to permit the wound to close again. However, after about two weeks the pressure has become again thus important, that a wound is formed again, and the inflammatory liquid is leaking out again (etc, etc).
In the period the liquid is accumulating in my arm(after the wound has healed - temporarily), my shoulder is getting painful (again) - I suppose because the pressure of this liquid on (in?) my shoulder is increasing.
My rheumatologist doesn't have any idea how to treat my problem.
Has one of you (patients, MD) encountered a similar problem?
Tahnks (and forgive my "medically incorrect/unprecise wording".
Jan
2 Responses
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233190 tn?1278549801
MEDICAL PROFESSIONAL
Difficult to say without examination or evaluation.  I'm not sure where or what the fluid is exactly.  It may be a cyst, pus, or fluid from an open wound.  

In this case, you may want to be referred to a surgeon for further evaluation.  If there is a problem with fluid preventing healing, a drain can be considered to ensure that the fluid can be adequately removed to promote healing.

If there is a problem with pus, the wound may have to be opened and cleaned by a surgeon.

Again, this is a vague answer because without evaluation I cannot be sure what is going on.  

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.
http://www.straightfromthedoc.com
Helpful - 0
Avatar universal
As I explained when posting my question, it is WITHOUT any doubt inflammatory liquid (and NOT a cyst, pus, or fluid from an open wound), caused by a chronical  aseptical inflammation of my upperarm (bone marrow) and leaving my arm through a fistula the liquid has created itself (this is absolutely clear from the IRM). Draining is of no avail, because the cause (inflammation) must first be cured (anyhow, there is a "natural draining going on" - as I explained in my posting).
And that is precisely the problem: none of the (at least 10) physicians I have consulted knows how to deal with the inflammation.
So my question remains completely open, I am afraid.
Helpful - 0

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