My skin has some spot wise infection specially when summer time and then I have some bond pain doctor give me some tests where my CRP is high so help me to know what is my body happen - #9866

Does the it itch ?? Need you to send photos of the infection

your skin itch could be due to: 1) fungal infection 2) bacterial infection 3) dermatitis 4) allergies body pain and high CRP could be due to: 1) Vitamin D3 deficiency 2) autoimmune disease 3) chronic infection Please check: 1) Vitamin D3 level 2) Calcium 3) RA factor 4) ESR Thank you

Hi Monuranjan kalita ji I can understand your concern But I may need to see pictures of the infection to rule out is it bacterial/fungal/viral And give you the best treatment possible

Hi Monuranjan Kalita, could you share a picture of the skin lesions? It would help to understand the condition better. Also, please provide more details on the tests you’ve done, especially the CRP results. This will help guide the next steps

Hello dear Please be aware See as per clinical history it seems either allergy or some infectious diseases associated with some internal problem As per the chief complaint it seems associated with rheumatic fever or dermatitis However there is a need to check crp tests to know exactly etiology addition please get lft and rft tests Regards

Hello, Don't need to panic Kindly get consultation so that clarified disease can be established.

It will be better to understand if I can see So share photos of the part where u have problem Only after that I will be able to resolve the problem

Consult a dermatologist and rheumatologist to evaluate your symptoms and identify the exact cause for proper treatment.

It sounds like you've been dealing with a long-term skin issue that worsens in the summer, along with some recent joint pain and elevated CRP (C-reactive protein). I can understand how frustrating this must be, especially since the tests have returned okay but the symptoms persist. Let's break it down and explore possible connections between these issues and how you can address them. ### **1. Skin Spots/Lesions (Long-Term Issue)** The fact that you've had a skin condition for 6-5 years that worsens in the summer suggests that it could be related to an **allergic reaction**, **eczema**, **psoriasis**, **fungal infections**, or **dermatitis** (e.g., contact dermatitis or atopic dermatitis). Several environmental factors such as heat, sweating, and humidity in summer can exacerbate skin conditions. Some possibilities include: - **Psoriasis**: A chronic skin condition that causes red, scaly patches. The condition can flare up in hot weather, and stress can also trigger or worsen symptoms. - **Fungal Infections**: Heat and humidity can increase the likelihood of fungal infections, especially if you have excess sweating in certain areas. These infections often cause spots or rashes on the skin. - **Contact Dermatitis**: An allergic reaction to certain substances (like soaps, lotions, fabrics, or perfumes) could cause itchy spots, particularly if you spend more time outdoors in the summer. ### **2. Joint Pain and High CRP** CRP is a protein produced by the liver in response to inflammation. High CRP levels are often an indicator of inflammation somewhere in the body. The fact that you’ve had **joint pain** and **high CRP** suggests there might be an underlying inflammatory condition. Conditions that can cause high CRP and joint pain include: - **Rheumatoid Arthritis (RA)**: An autoimmune disorder that affects the joints and can cause inflammation, pain, and swelling. It can also cause general symptoms like fatigue and can present with high CRP levels. - **Osteoarthritis**: Although less likely to cause high CRP, osteoarthritis (degeneration of joint cartilage) can cause joint pain and stiffness. If there’s inflammation in the joint, CRP can be elevated. - **Other Autoimmune Disorders**: Conditions like lupus or inflammatory bowel disease (IBD) can cause systemic inflammation and lead to elevated CRP levels along with joint pain. ### **3. The Connection Between Skin and Joint Symptoms** The combination of skin issues and joint pain with high CRP could point towards a systemic inflammatory condition, possibly an autoimmune disorder, like **psoriatic arthritis** (which combines psoriasis with joint pain) or **reactive arthritis** (which can occur after infections and cause joint pain and skin rashes). Another possibility could be **lupus**, which is a systemic autoimmune disease that can affect the skin, joints, and other organs. ### **Next Steps:** Given that you’re dealing with ongoing skin issues and recent joint pain with high CRP, here are some general guidelines and considerations: 1. **Follow-up on Autoimmune Conditions**: - Since your CRP is high, it might be helpful to consult a **rheumatologist** or **dermatologist** to rule out or diagnose autoimmune conditions like **psoriasis**, **psoriatic arthritis**, or **lupus**. - Additional tests like **anti-CCP antibodies**, **rheumatoid factor (RF)**, and **ANA (antinuclear antibodies)** might help in diagnosing rheumatoid arthritis or lupus. 2. **Manage Skin Issues**: - If you haven't already, ask your doctor about treatments for conditions like **eczema**, **psoriasis**, or **contact dermatitis**. Options include: - **Topical corticosteroids** or **calcipotriene (vitamin D derivative)** for psoriasis. - **Antihistamines** for itching or allergic reactions. - **Antifungal creams** if a fungal infection is suspected. - **Moisturizing** regularly with fragrance-free moisturizers can help soothe the skin, especially in hot, dry weather. 3. **Joint Pain Management**: - **NSAIDs** (Non-Steroidal Anti-Inflammatory Drugs), such as ibuprofen or naproxen, may help relieve joint pain and inflammation temporarily. - If an autoimmune condition is diagnosed, **disease-modifying anti-rheumatic drugs (DMARDs)** or **biologics** might be needed to control inflammation and prevent joint damage. - You might also benefit from **physical therapy** or specific **exercise** programs that target joint mobility and strength. 4. **Lifestyle Considerations**: - **Diet**: Eating anti-inflammatory foods like **omega-3 fatty acids** (found in fish like salmon), **fruits**, **vegetables**, and **whole grains** may help reduce inflammation. - **Sun Protection**: Since your skin is sensitive and you experience flare-ups in summer, use **sunscreen** (preferably mineral-based) to protect your skin from UV damage, as it can trigger certain skin conditions. - **Stress Management**: Chronic stress can worsen both skin and joint inflammation. Practicing stress-reducing activities like yoga, meditation, or even simple breathing exercises may be beneficial. ### **When to See a Specialist:** 1. **Rheumatologist**: Given your elevated CRP and joint pain, a rheumatologist can assess whether there is an underlying autoimmune or inflammatory condition. 2. **Dermatologist**: A dermatologist can help diagnose and treat your persistent skin condition, especially if it's linked to a systemic issue like psoriasis or eczema. 3. **Further Imaging/Tests**: Based on your joint pain, additional tests like X-rays or ultrasounds of your joints might be recommended to assess the extent of inflammation. ### **Summary**: - **Skin Issues**: Consider conditions like psoriasis, eczema, or fungal infections, which can be worsened in hot weather. Consult a dermatologist for a specific diagnosis and treatment. - **Joint Pain & High CRP**: High CRP indicates inflammation, which might be linked to an autoimmune disorder such as rheumatoid arthritis, psoriatic arthritis, or lupus. A rheumatologist can help diagnose and treat inflammatory conditions. - **Follow-up**: Ensure that you follow up with a rheumatologist and dermatologist for proper diagnosis and treatment. It's great that you're actively seeking help and following through with tests. Continued monitoring and appropriate medical intervention will hopefully bring you relief. If the symptoms continue or worsen, don't hesitate to reach out to your healthcare providers to explore further testing or treatments.