[47F] With widespread skin growths, neurological symptoms, and systemic issues
Patient Description
A 47-year-old female reports experiencing a variety of symptoms over the past two years. She describes the growth of a film-like substance on her skin, which initially started after having a sore on her chin. The skin growths are round, circular formations that sometimes twist her hair, with some lesions being smooth and white, while others turn black and bleed. These growths cause pin-like pain, heat, and hardening, particularly on her scalp. She also reports worsening vision, hearing loss, fatigue, headaches (throbbing at the temples and aching), black spots coming off in the shower, matted hair, different types of sores, itching, upset stomach, a lump in her throat, excessive mucus, and a black haze on her skin. Additionally, she has noticed a burning sensation in her stomach, heaviness in her female parts, a boil on the back of her neck, and increased peach fuzz hair growth. Her kidney function is declining, and her heart troponin levels are increasing. Lab work has shown abnormal bacteria, protein, and mucus in her urine. The patient has a history of working in yards and cleaning houses. She has seen medical professionals but has not received a definitive diagnosis.
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Arora's Assessment
What might be happening
Based on the symptoms and history you've provided, it seems like you might be dealing with multiple underlying issues. Here are some possible explanations:
Skin and Scalp Issues
- Chronic Dermatitis or Psoriasis: The film-like growths, itching, and lesions could be due to chronic skin conditions like dermatitis or psoriasis. These conditions can cause scaling, itching, and sometimes pain.
- Fungal or Bacterial Infections: Given the widespread nature and the description of the lesions, a fungal or bacterial infection could be a possibility. These infections can cause itching, redness, and sometimes discharge.
Systemic Symptoms
- Autoimmune Disorders: Conditions like lupus or other autoimmune diseases can cause a wide range of symptoms, including skin issues, fatigue, headaches, and organ involvement.
- Chronic Infections: Persistent infections, possibly related to your history of working in yards and cleaning houses, could explain the systemic symptoms like fatigue, headaches, and skin issues.
Vision and Hearing Issues
- Chronic Inflammation or Infection: The blurry vision and worsening hearing could be due to chronic inflammation or infection affecting your eyes and ears.
- Autoimmune or Neurological Conditions: These symptoms could also be related to autoimmune or neurological conditions that affect multiple systems in the body.
Gastrointestinal and Urinary Symptoms
- Gastroesophageal Reflux Disease (GERD): The burning sensation in your stomach could be due to GERD, which can cause acid reflux and discomfort.
- Kidney Issues: The abnormalities in your urine and the mention of kidney failure suggest that your kidneys are not functioning properly, which could be contributing to your overall symptoms.
Other Symptoms
- Hormonal Imbalances: The excessive hair growth and changes in your skin could be related to hormonal imbalances.
- Nutritional Deficiencies: Chronic fatigue, headaches, and other systemic symptoms could be due to nutritional deficiencies.
What you can do
Skin and Scalp Issues
- Consult a Dermatologist: A specialist can provide a more accurate diagnosis and treatment plan for your skin and scalp issues.
- Maintain Good Hygiene: Keep your skin clean and dry. Use mild, hypoallergenic soaps and moisturizers.
- Avoid Irritants: Try to avoid known irritants and allergens that could be exacerbating your skin condition.
Systemic Symptoms
- See a Rheumatologist: Given the possibility of autoimmune disorders, a rheumatologist can help diagnose and manage these conditions.
- Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider.
Vision and Hearing Issues
- Consult an Ophthalmologist and Audiologist: Specialists can help diagnose and treat your vision and hearing issues.
- Protect Your Eyes and Ears: Avoid exposure to loud noises and bright lights, and use protective gear if necessary.
Gastrointestinal and Urinary Symptoms
- See a Gastroenterologist and Nephrologist: Specialists can help manage your stomach issues and kidney function.
- Dietary Changes: Avoid spicy and acidic foods that can worsen GERD. Stay hydrated and follow a kidney-friendly diet if recommended by your doctor.
Other Symptoms
- Consult an Endocrinologist: For hormonal imbalances and nutritional deficiencies, an endocrinologist can provide appropriate treatment.
- Healthy Lifestyle: Ensure a balanced diet, regular exercise, and adequate sleep to support overall health.
What you should look out for
Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care urgently include:
- Severe Pain or Discomfort: If any of your symptoms become unbearable.
- Sudden Changes: Any sudden changes in your vision, hearing, or skin condition.
- Difficulty Breathing or Swallowing: These could be signs of a more serious underlying condition.
- Severe Fatigue or Weakness: If you feel extremely weak or fatigued, it could indicate a more serious issue.
Remember, while I can provide some guidance, it's crucial to consult with real health professionals to receive a formal diagnosis and appropriate treatment.
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3 mo ago