What causes pain in joints and bones and change in facial features?
Patient: My ESR rate is 33mm/hr and I m a 29yr old female, and I ve been having joint and bone pains every day from my shoulders down to my fingers and toes. I ve also been developing puffy bags under my eyes that don t go away and dry scratchy eyes that especially bother me in sunlight or glare. My lips also are gradually getting larger, and my facial features are changing in general. What could be the reason? Doctor: Hello,Your symptoms could be related to an inflammatory disorder. For this reason, I recommend checking ANA and ANCA titer antibodies, FR levels and GH plasma levels. You should discuss with your doctor on the above tests.Hope I have answered your question. Let me know if I can assist you further.  Regards, Dr. Ilir Sharka, Cardiologist