What causes swollen ankle , numbness , cramping , vertigo and livedo reticularis?
Patient: I ve had symptoms off and on for last 2 years , I passed out twice and the Dr never went into much cause I was pregnant but recently I have livedo reticularus , Raynaud s , fatique, swollen ankle and trapazoid , crazy tingling sensations, numbness, cramping feeling, vertigo, petichia on abdomen and flu like feeling. My Dr took some blood work and as far as I know the only positive were ra titer was high, aso was high,. I m 35 And am very active. This is really worrying me. My Dr is sending me to a rheumatology but they can t see me for close to 2 months. Is this k to leave your body in this state that long before treatment? Doctor: hiif rheumatoid factor is positive,your treating doctor may ask for serum anti ccp test to confirm rheumatoid arthritis as it is more specific. if it turns positively high you could be put on DAMRD anti rheumatoid drugs like hydroxychloroquin,methotrexate and or on cortisone too for relief.you could follow up rheumtologist later.Treating doctor has to screen liver and kidney function tests before begining anti rheumatoid or disease modifying drugs.etanercept injections can also be considered