| Provisional Diagnosis | - | k/c/o Panniculitis (lobular & Lupus) Evaluated in Ananthagiri Hospital Tvm. & later referred to CMCH, Vellore with no response to recurrent skin lesions nodular type, in crops along with fever polyarthralgia & mayalgia. Evaluated here on Ref. to me by local physician. |
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| Final Diagnosis | - | 1.Panniculitis lobular/septal with vasculitis 2.Common variable immuno deficiency syn. (IgG) Pt.improved very well on IVIG/steroids & colchicines (last one added by dermatologist). With no further fever or skin lesions |
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| History and Findings | - | ||
| Investigation | - | ANA, ds DNA, ANA profile & C& P ANCA all-ve, C3-C4 N., serum amylase & lipase N. vral markers, bacterial & protosomal markers neg. cultures (blood & urine) ne., skin biopsy (dermatology) consistent with lobular/septal pannicuculitis with vasculitis. Serum immunoglobulins IgG ?? 141mg. |
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| Treatment | - | ||
| Follow Up | - | ||
J.Priyanka,24,Female,Date - 19/10/2009
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