[46F] Experiencing swelling and severe pain in extremities with light brown discoloration

Patient Description

A 46-year-old female presents with a two-month history of swelling and severe, constant, stabbing pain in her feet, hands, and elbows, which worsens with both movement and rest. The patient also reports tender swelling in these areas as well as occasional facial swelling. Additionally, there are light brown areas on the feet that resemble bruises. The patient has been diagnosed with anemia and is currently taking iron supplements (325mg twice daily). There is no history of recent injuries, fever, unexplained weight loss, chest pain, shortness of breath, or changes in urine color. The patient is unaware of her family medical history and reports no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, several conditions could be causing your symptoms:

  • Rheumatoid Arthritis: This is an autoimmune disease that causes pain and swelling in the joints. The hands and feet are often affected. However, it's less common for this condition to cause swelling in the face or around the eyes.

    • Treatment typically involves medications to reduce inflammation and slow the disease's progression. Physical therapy may also be recommended.
  • Lupus: This is another autoimmune disease that can cause a wide range of symptoms, including joint pain, swelling, and skin changes. However, it's also associated with other symptoms like fatigue, fever, and kidney problems, which you didn't mention.

    • Treatment for lupus is aimed at controlling symptoms and typically involves medications like anti-inflammatories and immune suppressants.
  • Edema: This is a condition characterized by excessive fluid build-up in the body's tissues, leading to swelling. It's often associated with heart, liver, or kidney disease, but it can also be caused by certain medications, pregnancy, or being sedentary for long periods.

    • Treatment depends on the underlying cause and can range from lifestyle changes to medications.
  • Iron Deficiency Anemia: While this wouldn't directly cause your pain and swelling, severe anemia can sometimes cause pale or yellowish skin, which might be mistaken for bruising. Anemia can also make you more susceptible to infections and slow down the healing process, potentially exacerbating other conditions.

    • Treatment typically involves iron supplements, which you're already taking.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention. A healthcare provider can perform a physical examination and order tests like blood work or imaging studies to help determine the cause of your symptoms.

In the meantime, you might find some relief from over-the-counter pain relievers and anti-inflammatories, as well as rest and elevation of the swollen areas. However, these are only temporary measures and it's important to get a definitive diagnosis and treatment plan.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Chest pain
  • Confusion or changes in consciousness
  • Intense pain
  • Swelling that rapidly worsens

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common symptoms of rheumatoid arthritis?

Common symptoms of rheumatoid arthritis include joint pain, swelling, stiffness, and loss of joint function. It often affects the hands, feet, and other joints symmetrically. Fatigue and fever may also be present.


How is lupus diagnosed and treated?

Lupus is diagnosed through a combination of medical history, physical examination, and laboratory tests, including blood tests for specific antibodies. Treatment typically involves medications to control symptoms, such as anti-inflammatories, corticosteroids, and immunosuppressants.


What causes edema and how can it be managed?

Edema is caused by fluid retention in the body's tissues and can be due to heart, liver, or kidney disease, certain medications, or prolonged inactivity. Management includes addressing the underlying cause, reducing salt intake, and sometimes using diuretics.


Can iron deficiency anemia cause skin changes or bruising?

Iron deficiency anemia can cause pale or yellowish skin, which might resemble bruising. It does not directly cause bruises but can make the skin appear discolored due to reduced hemoglobin levels.

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