Persistent foot pain, diagnosis unclear?
Hello,
following course:
End of April conjunctivitis
Mid-May, iritis uveitis + painful foot, swelling visible from the outside.
A small blood count was done with the following values:
Hematologic Diagnostics
Complete blood count
Leukocytes 5.0 G/l
Erythrocytes 3.9 T/l
Hemoglobin 11.3 g/dl
Hematocrit 34.4%
MCV 88 fl
MCH 28.9 pg
MCHC 32.8 g/dl
Platelets 338 g/l
PROTEIN DIAGNOSTICS
Rheumatoid factor <10 IU/ml
C-reactive protein (CRP) 1.5 mg/dl
AUTOANTIBODY DIAGNOSTICS
ANTIBODIES AGAINST:
Cell nuclei (ANA) 1:320 titer
Fluorescence pattern homogeneous to finely speckled. Mitosis positive.
The fluorescence pattern of detectable ANA would indicate antibodies against SS-A/B (Sjögren's disease, cutaneous LE) and ds-DNA antibodies (SLE). Depending on the clinical presentation, subsequent antibody differentiation may be advisable.
Unfortunately, I'm not getting much support from the doctors. They've been referred to a rheumatologist, but they have to wait another 4-6 weeks. My doctor basically only gives me painkillers.
Are there any empirical values here?
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The hemoglobin value is too low; the hematocrit value is probably also. The erythrocytes (red blood cells) as well. It will then be an iron deficiency anemia. With vitamin C, iron is better incorporated; the best take daily. Vitamin C-containing beverages are good. Probably 100 mg daily or more is good; if it is too much it is excreted. Vitamin C is available in 100 g cans also in the reform house; a small spatula in the drink eg B . are approx. 120 mg. The 3 M values and the thrombocytes appear to be within the framework; the leukos (inflammations) also.