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Q: Strange symptom combination... ( Answered 4 out of 5 stars,   1 Comment )
Question  
Subject: Strange symptom combination...
Category: Health > Conditions and Diseases
Asked by: jahfreak-ga
List Price: $45.00
Posted: 30 Nov 2002 15:25 PST
Expires: 30 Dec 2002 15:25 PST
Question ID: 116967
Hello... I have the following few symptoms, which seem to appear
simultaneously...

(in order of severity)...
1) Anal area... A distinct, sharply pungent-scented fluid leaks,
causing the following effects:
   a) A sort of maceration of the anal opening, causing the skin to
become white, pasty, and extremely itchy. After the skin has been
scratched (or wiped off with toilet paper), the area becomes extremely
inflamed.
   b) The fluid leaks to the perenium and groin skin fold areas while
sleeping, and causes intertrigo (diagnosed by dermatologist).
Corticosterroids manage this very effeciently, however I know they're
not fixing the problem.
2) Mouth... The tongue develops an odorous white patch (which can be
wiped away for the most part)... Other tissues of the mouth are
inflamed (chronic gingivitis has resulted as well)... Roof of moth
becomes white... Breath is almost always very odorous.
3) Fingers/Arms... I develop several clear/cloudy fluid-filled bumps
in the following areas in order of frequency: In the interdigital
spaces, on the other areas of the fingers, on the palms, on the back
of the hands, and on the arms. Fingers & arms seem to be the only
places I develop these... I currently have 15 bumps. If they are
punctured, a few layers of skin are ripped off (a bit more than the
typical blood blister), and extreme pain occurs in those areas.
4) Eyes... Eyelids become irritated and puffy... I have had permanent
styes since this started happening a few years ago.
5) Sinuses... I've noticed small, white mucous balls coming from the
nose...
6) General... Areas of the body get very cold sometimes ... Primarily
the nose and hands... I've noticed an increase in overall body odor
since this started happening... Certain areas of skin occasionally
turn yellowish, such as around the eyes and the neck.

Please post any questions via clarification... Thanks for any help.

Clarification of Question by jahfreak-ga on 30 Nov 2002 15:31 PST
Forgot to mention... I'm looking for opinions, possible causes,
possible diagnoses, etc ... Please dont just post a simple 'see a
doctor'-typed response, although telling me which type of specialists
I should see (in what order) would be helpful to me as well.

Thanks again...
Answer  
Subject: Re: Strange symptom combination...
Answered By: arimathea-ga on 30 Nov 2002 19:05 PST
Rated:4 out of 5 stars
 
jahfreak-ga,

Thanks for contacting Google Answers.

First, let me emphasize that I am not a doctor and my information is
solely based on my research.  Regardless of the results of my research
I believe you should seek a qualified professional.

Based on your combination of symptoms, I believe that you have
developed a combination of afflictions.  It is possible that you are
experiencing any number of the following conditions:

Epstein-Barr Virus

This is a fairly common virus that most often occurs in people over
age 40.   A related virus is cytomegalovirus (CMV).  Either can lead
to infectious mononucleosis, which could lead to lymphoma.  Based on
your description (and even if you had provided more information) it
would be impossible to determine whether this was actually the case,
but the symptoms sound right.

Non-Hodgkin's Lymphoma

NHL is much less predictable than Hodgkin's disease.  Symptoms can
include protrusions of the eye, nasal and oral sores, night sweats,
etc.

Hodgkin's Disease

Hodgkin's is a cancer of the lymphatic system.  I think it is less
likely you have Hodgkin's since the first symptoms are usually
swelling in neck/armpits/groin (locations of lymph glands).

oral cancer

Without knowing more about the anal fluids, it's hard to say whether
you have this, but it is possible these fluids are being generated in
the mouth and being carried throughout the rest of the body.

Other lymphatic system infections

These symptoms are more likely than not highly interrelated.  The
possible afflictions I mention can all lead to these things.  The anal
fluids appear to be less of an indicator but if a lymph infection is
being carried by the body, it is possible that affected fluids could
exit the body in this way.

I couldn't find anything else that looked similar, but that doesn't
mean there isn't something that could be around that's more insidious.
 I did see some information on AIDS-related lymphoma that could be
important.  Do you have an immune deficiency?

My search methodology utilized Google and WebMD, looking for different
phrases and combinations, including:

white discharge
stye
jaundice
oral sore
oral white
intertrigo
anal infection
halitosis

My order of specialists would be:

GP (for a complete blood chemistry workup by a competent lab and
interpretation)
Oncologist and/or hematologist
STD specialist

References:

http://my.webmd.com/encyclopedia/article/4115.17317 (WebMD, Infectious
Mononucleosis causes)

http://my.webmd.com/content/article/1680.50827 (WebMD, Oral Cancer)

http://my.webmd.com/content/article/1680.51619 (WebMD, Non-Hodgkin's
Lymphoma)

Good luck in your search for more information.

Thanks,
arimathea-ga

Request for Answer Clarification by jahfreak-ga on 01 Dec 2002 03:37 PST
No... I've been tested HIV negative 3 times over the last year..

I've said the symptoms happen simultaneously ... So I was sorta
searching for a disease, virus, parasite, etc - that encompassed these
symptoms (I am very much under the presumption that they ARE somehow
interrelated)... They happen simultaneously, go away for a while, then
come back, simultaneously...

I appreciate the info you've given... But anyone can search WebMD ...
I've been there a multitude of times myself... Do you have anything
other information that might help me out?

Clarification of Answer by arimathea-ga on 01 Dec 2002 18:31 PST
jahfreak-ga,

My apologies that my answer did not specify the following.  The
conditions I pointed to are the only ones I located in a pretty
extensive search that could encompass all of what you're talking about
simultaneously.  I remember distinctly during a thorough search around
the topics I mentioned that those conditions can indeed cause all
these symptoms at once.

I could not find any information that related or encompassed the same
symptoms.

As surgeon-ga mentions, a yeast infection could be the cause. 
Staphylococcus is also a possibility, but unlikely, I think.

What additional information could I provide you that would help to
clarify my research?

Request for Answer Clarification by jahfreak-ga on 01 Dec 2002 19:15 PST
This is sufficient... I was just looking for possible all-encompassing
diseases/etc since the symptoms are recurrent and simultaneous... The
info I need is probably here. Thanks.. Thanks also surgeon-ga for your
comment. Any other comments would be very much appreciated from any
medical professional who notices this question that has run into
anything similar in the past...

Clarification of Answer by arimathea-ga on 02 Dec 2002 07:36 PST
In summary, and after speaking with a few physician friends of mine,
it does indeed sound like this is some kind of lymphatic cancer or
systematic recurring lymphatic infection.  It is possible that if one
of the systems started first that is the source of the initial
infection or cancer (for example, if the mouth sores/halitosis started
first, oral cancer would be the first potential option).

None of the three physicians I spoke to seemed to think it could be
anything other than the items we mentioned collectively in this
research.  All of them strongly recommended a complete workup of
lymphatic system function and blood function.

Good luck!

Thanks,
arimathea-ga
jahfreak-ga rated this answer:4 out of 5 stars

Comments  
Subject: Re: Strange symptom combination...
From: surgeon-ga on 01 Dec 2002 14:02 PST
 
Yeast infection is a possibility. But you MUST see a doctor. I'd start
with someone who will perform endoscopy on your lower end; generally,
that's a gastroenterologist. You are certainly correct that treating
the topical effects of the discharge on the skin is not definitive.
You need the lining tissues of your rectum looked at directly

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