[50F] Experiencing joint pain, skin sensitivity, night sweats, and fatigue

Patient Description

A 50-year-old female presents with a 7-week history of progressive joint pain, skin sensitivity, night sweats, and fatigue. The joint pain is described as aching, with a severity of 8 out of 10, starting in the hands and extending to the knees, hips, feet, and back, which significantly impairs her ability to walk. Pain worsens around 4 pm daily, and rest seems to provide some relief. Additionally, the patient reports that her skin is sensitive to touch, making it uncomfortable to wear clothes. She has a significant surgical history, including a hysterectomy 25 years ago and a full colectomy 5 years ago. She is not currently on any medications and reports no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Fibromyalgia: A disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is often considered when there are multiple areas of pain and tenderness, fatigue, and other systemic symptoms like you're experiencing.

    • Treatment typically involves a combination of medications, exercise, stress-reduction measures, and cognitive behavioral therapy.
  • Rheumatoid Arthritis: An autoimmune disorder that can cause joint pain and damage throughout your body. The joint damage usually happens on both sides of your body. So if a joint is affected in one of your arms or legs, the same joint in the other arm or leg will probably be affected, too.

    • Treatment focuses on controlling symptoms and preventing joint damage.
  • Lupus: An autoimmune disease that occurs when your body's immune system attacks your own tissues and organs. Inflammation caused by lupus can affect many different body systems — including your joints, skin, kidneys, blood cells, brain, heart and lungs.

    • Treatment aims to control symptoms and protect organs by decreasing inflammation and/or the level of autoimmune activity in the body.

Please note that these are just possible diagnoses. You should consult a healthcare professional for a formal diagnosis.

What you can do

  1. Try to maintain a regular sleep schedule. Good sleep hygiene can help manage fatigue and other systemic symptoms.
  2. Try gentle exercises like yoga or swimming. Physical activity can help manage joint pain and improve your overall health.
  3. Try to manage stress. Stress can worsen symptoms of many conditions, including fibromyalgia and rheumatoid arthritis. Techniques such as deep-breathing exercises and meditation can help.

What you should look out for

Please seek immediate medical attention if:

  • Your joint pain is accompanied by swelling, redness, and warmth.
  • You have difficulty moving the joint.
  • Your symptoms continue to worsen or do not improve with rest and self-care measures.
  • You develop new symptoms.

Remember, this advice is intended to be general in nature, and specific causes may need different approaches. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of fibromyalgia?

Common symptoms of fibromyalgia include widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive difficulties, often referred to as 'fibro fog'. Patients may also experience headaches, depression, and irritable bowel syndrome.


How is rheumatoid arthritis diagnosed?

Rheumatoid arthritis is diagnosed through a combination of patient history, physical examination, blood tests for specific markers like rheumatoid factor and anti-CCP antibodies, and imaging tests such as X-rays or MRIs to assess joint damage.


What lifestyle changes can help manage lupus symptoms?

Lifestyle changes that can help manage lupus symptoms include maintaining a balanced diet, regular exercise, stress management techniques like meditation or yoga, and avoiding sun exposure to prevent skin flare-ups. It's also important to follow a treatment plan prescribed by a healthcare provider.


When should I seek medical attention for joint pain?

You should seek medical attention for joint pain if it is accompanied by swelling, redness, warmth, or if you have difficulty moving the joint. Additionally, if your symptoms worsen or do not improve with rest and self-care measures, or if you develop new symptoms, it's important to consult a healthcare professional.


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