Guest guest Posted May 31, 1999 Report Share Posted May 31, 1999 , It's difficult not to become preoccupied with the possibility of crossover diseases. I wish no doctor had ever suggested Lupus to me. The suggestion has been planted and then there are all of those unexplained medical incidents. Last week I learned for the first time that Scripps had tested me for Epstein-Barr virus (the virus that causes mononucleaosis, among other things) and I learned that I tested positive. I looked it up on Internet and sure enough, EBV can cause liver inflammation. I set the thought aside so I could talk to someone about this then tonight I read an article in " Hopkins Health Insider " , a newsletter I receive but rarely read. The article says that 90 percent of Americans older than 35 carry antibodies for EBV, meaning they were infected with it. The article says that adult mono may include liver inflammation. This is why adult mono is often mistaken for gallbladder problems, hepatitis, HIV and other conditions. I had a horrible thought. Maybe that's all I ever had. Liver inflammation from EBV. And maybe everything that's happened since has been caused by the medication. Of course, that doesn't answer my questions about why I had other AIH symptoms, but it certainly could skew lab tests. My next thought was that ongoing liver inflammation from any cause would surely eventually result in cirrhosis, and I question whether the lab tests are all simply an indicator of the inflammation and nothing more. Certainly, EBV has been ruled out and AIH confirmed? But I would like to have someone tell me that officially. See what I mean? Those kinds of thought patterns are called " processing " . It's easy to get caught up in the " what if? " aspect of things. Now, if I had a doctor who wasn't always in such a hurry to get out the door when he sees me, I'd ask him about all of this. Maybe it's denial, but it's a horrible possibility... or maybe it's not. The article says that symptoms of mono in adults can vary so much that it can baffle even experienced clinicians (and I hope all of us are seeing " experienced " clinicians.) The bumps on my scalp come and go. All it usually takes to get rid of them is a shampoo, which leads me to believe that they have a cause similar to whatever causes the light rashes I get. Allergic to my own perspiration. My hair's very dry but I use a conditioner and rarely go a day without shampooing. When I start to " shed " nothing I do seems to make a difference. The biopsy sounds like a good idea for you. You have to know one way or the other what is causing your labs abnormalities. If you're like me, you can handle negative news better than not knowing at all. Wouldn't it be great if losing weight is all it takes to magically become well again? I don't know how it works for Lupus, but at least in my situation, there is fluid retention all over my body, it's just more obvious in my feet and ankles. So, losing weight would definitely help and the doctor needs to tell you what to do to get rid of the fluid that's causing the increased weight, if there's anything you CAN do. Sometimes pred is so much better than the alternatives, the side effects become almost irrelevant. Take care, Geri Quote Link to comment Share on other sites More sharing options...
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