Autoimmune Disorder-Pediatric Oncall

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Autoimmune Disorder

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Rakesh Kumar, Puja Bhagat Department of Pediatrics, Katihar Medical College, Katihar, Bihar, India ...

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	Specialist Answers
Question Category : Autoimmune Disorder
Sir, I am a n asst.professor medicine at mkcg medical college,berhampur orissa.My daughter has been suffering from musculo skeletal pain with recurrent uti for last 8 months. she is 10 years old. she has been investigated for SLE at vellore in December.The tests negative for SLE. Now she has uti again with skin lesions diagnosed as nodular vasculitis.Kindly advise me what steps to be taken for the diagnosis You can suggest name of consultants or institutions.Your sincerely . Check Out the Answer
Question Category : Autoimmune Disorder
how do u treat haemophagocytic syndrome and how do u follow up such patients Check Out the Answer
Question Category : Autoimmune Disorder
A seven year old male child presented with pain in legs unable to get up from bed. On examination child was having erythme over extremeties mild grade fever and tenderness all over body. DTR were normal. put child on paracetamol and amoxcillin and got routine investigation with CPK. CPK was 5000 IU and I diagnosed as myositis . seven days later symptoms subsided and CPK was normal. Eight months later child came back with similar problem.Subsided again. What is the line of management? Check Out the Answer
Question Category : Autoimmune Disorder
I have a problem in acasewitch was admitted in my hospital on\6\5\o6 with history of erythematous skin lesion over anterior aspect of both lower limb also there is of fever and pain on both knee jt my patient is 12 years old female over weight she had ahistory of URTI just 5 days befor she developed these rash the rash was painful sudden onset slight raised over skin there is h\o reccuent tonsilitis but no h\o cough \weight loss\night sweating \or moring stiffiness\ 0r Raynaud phenomena also there is no h\o truma \drugs\diarrhea\orweakness neigher convlsions\no family history any Rhematological disease on examination conscious not dyspnic\or tachypnic no paller or cynosis vital signs stable systemic examination was normal skin examination was normal investigations CBC was normal LFT RFT both were normal serology negative CRP andRhematoid factor both positive ASO and cold agglutination positive LE cell negative ANAB also negative Tuberculin test negative urine R\E and C\S both normal the working diagnosis was erythema nodusm we put the patient on Asprin antinflmatory dose the patient still no improvement sorry I forget to inform you that abdominal USS and C T both were normal thank you for hlep copperation your friend Dr najat . Check Out the Answer
Question Category : Autoimmune Disorder
Can u pls tell me how will macrophage activation syndrome present IN K/C/O JRA? Also pls tell me about histo-pathologic features of Bone Marrow biopsy of the same Check Out the Answer
Question Category : Autoimmune Disorder
Dear sir 16y old female present with painful petechial eythematous lesion in both lower legs seen by dermatologist, diagnosed as vasculitis.The patient gave history of GN 6y ago.Now she is on captopril+propranol+prednisolone for the last 3y. Prior to that she was given cyclophosphamide for 4months. On exam. Obese healthy, vital sign are normal,GUE is normal apart from trace albumine,renal function are normal. My questions are; 1.Any relation between vasculitis and activity of the disease . 2.Can we taper the treatment or does she need treatment now. . 3.Is renal biopsy indicated. I am waiting reply thanks . Check Out the Answer

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