[20F] Experiencing recurrent flu-like symptoms with rash and throat pain

Patient Description

A 20-year-old female has been experiencing recurrent flu-like symptoms, including fever, chills, fatigue, and low blood pressure. The fever is low-grade at 99.6°F and lasts for 2-3 days at a time. The patient reports a persistent rash on both forearms, described as white and pink, dry but not itchy, present for 2 years and gradually increasing in size. Additionally, there is sharp pain when swallowing, localized to the right side of the throat, with pain levels varying between 5 and 8 out of 10. The patient also experiences fatigue and occasional dizziness, which may be associated with mild low blood pressure (102/82 mmHg). There is no shortness of breath but frequent yawning. Swollen lymph nodes have been noted in the neck, and there is joint pain that occurs throughout the day, not specifically in the morning. The patient also suffers from indigestion. There is no known family history of autoimmune diseases provided. No recent travel, exposure to new environments, or contact with individuals with similar symptoms was reported. The patient has tested negative for COVID-19.

Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

Infectious Mononucleosis: Also known as "mono" or the "kissing disease," this is a viral infection often characterized by fever, sore throat, fatigue, and swollen lymph nodes. It's commonly caused by the Epstein-Barr virus.
- Treatment typically involves rest, hydration, and over-the-counter remedies for pain and fever.
Systemic Lupus Erythematosus (SLE): This is an autoimmune disease that can affect many parts of the body, including the skin, joints, and internal organs. Symptoms can vary greatly from person to person, but often include fatigue, joint pain, rash, and fever.
- Treatment typically involves medications to suppress the immune system and manage symptoms.
Rheumatoid Arthritis: This is an autoimmune disease that primarily affects the joints, but can also impact other organs. Symptoms can include joint pain and stiffness, fatigue, and low-grade fever.
- Treatment typically involves medications to suppress the immune system and manage symptoms.
Lyme Disease: This is a bacterial infection transmitted by ticks. Early symptoms can include fever, fatigue, headache, muscle and joint aches, and swollen lymph nodes.
- Treatment typically involves antibiotics.

What you can do

Given the range of possible conditions and your ongoing symptoms, it's important to seek medical attention. Here are some steps you can take:

Schedule an appointment with your primary care physician or a local clinic. They can perform a physical examination and potentially order blood tests or other diagnostic tests.
Keep a symptom diary. Note when each symptom occurs, its severity, and any potential triggers. This can be helpful information for your doctor.
Stay hydrated and rest as much as possible. Both can help your body fight off illness and recover.

What you should look out for

Seek immediate medical attention if you experience:

Severe pain, especially in the chest or abdomen
Difficulty breathing or shortness of breath
A fever over 102°F
Symptoms that rapidly worsen or become severe

Please remember that while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Sore Throat: At-Home Management