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Patient has been sick for 6 weeks now symptoms are as ...

Sent to Health Experts August 20, 2006 6:21 p.m.

Patient has been sick for 6 weeks now   symptoms are as follows
started with slight rash on eyes and back of head near spine
3 docs said try oitment   did not work at all
3 weeks later rash spreds to body and hands and feet very sore and red to touch fingertips and toes sort of explode with redness
very fatigued
psoriasis and psoriatic arthritis the patient already has
hospital stay 5 days lots of test most important alkaline phosphatase levels very high
diagonised with pneumamonia   put on antibiotic   did not help patient much worse
doc send us to Pres St Lukes in Denver   they did extensive tests and finally after many dead ends came up with undiogonised liver problem    liver biopsy shows a healing liver that was compromised   patient shows signs of dermatomyositis which one of your docs thought but not enough to call it that    hepatitis has been ruled out   prednidose 60 mgs has been prescribed and patient has been on it a week with improvement   but now his heels have swollen and hard to walk    any ideas would be greatly appreciated   I realize this is hard as you do not have all the info but maybe an idea

Optional Information:
Male , Age: 52

Already Tried:
antiobiotic 6 days on prednisone now 60 mg

Customer (name blocked for privacy)

Status: Closed Value: $15

Answer
August 20, 2006 8:40 p.m. (2 hours and 19 minutes later)

ACCEPTED

Hello

The prednisone will cause fluid retention. It makes sense that this would show up in the heels/feet first because of gravity. My suggestion is to keep the legs elevated as much as possible and give the doctor a call in the morning. They may want to prescribe a mild diuretic to help with this side effect.

Don't stop the prednisone. This is a med that needs to be tapered off. Continue to follow doctors directions with this as the benefits outweigh the risks.

Kerry

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Kerry, RN
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