I too, developed red spots with splotchy white areas around them on the day I was in the sitting room to see a hematologist. When he was examining me, he saw those spots but didn't comment. My blood is abnormal since my platelets and RBC are quite high. I was diagnosed of having polycythemia vera. Bone marrow biopsy, pcr for JAK2 and BCR/ABL showed that positive. I also can feel pain in my lower rib cage ( sometimes left and sometimes on the right side ) and also on the left and right lower abdomen just above the groin. I had hernia operation on both sides on the same spot where the pai is now. Could hernia be the cause due to reoccurrence? I ust had echography to check sizes of my organs ( liver, spleen, pancreas, etc). They are all in normal size except my spleen which is a bit swollen which is due to viscousity of my blood an abnormal hemoglobin rate.
This might help you out , if you want to come in and read, the site can be found here http://health.groups.yahoo.com/group/Pancreatitis_sphincterofoddi/
My primary care physician says my rash may be allergic reaction to something within the ducolax, or some toxicity being released by germs from the virus as they die. Either way he gave me zyrtec (sp?) and instructed me to take benedryl at night if needed. We did another blood draw to see where my levels were on my liver. Prescription: Easy-does-it, bland diet. Watch for worsening conditions.
Let me add I am a 43 yr white male, do not smoke or take drugs, drinks very little, perhaps 1 drink a month. At this writing my rash I spoke of has spread predominantly over my chest, back and sides, itches tremendously. It's like the poison of whatever was ailing me the past several days in the hospital is coming out my skin. Have a dr. appt. at 10:45 a.m. this morning. Exams done while in hospital (in order)were: chest x-ray, d-dime, CT-scan chest, VQ-scan, x-ray stomach, ultrasound of heart, ultrasound of abdominal, CT-scan abdominal, hida-scan. Several blood tests for pneumonia, flu, hepatitis A, B, C, mono, hiv all of which came back neg, other than the high liver enzymes and low wbc count, nothing seemed out of order.
Difficult to say what it is without reviewing the studies.
There are indeed many viruses that can lead to elevated liver enzymes and hepatitis. Many of the major ones have likely been tested for in the hospital.
If the liver enzymes continue to rise, and there is evidence of jaundice, then further tests can be considered. A liver biopsy, for instance, can be considered for a more definitive diagnosis. This is normally considered if the ALT is persistently 3x the upper limit of normal.
You can also consider looking at the biliary ducts for any blockages. This can be done with an MRCP.
These options can be discussed with your personal physician, or in consultation with a gastroenterologist.
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.
kevinmd_