Jan 17, 2018

At age 45, the patient started to have pain in her abdomen. She was found to have an aneurysm in the blood vessel that supplies blood to the spleen (splenic artery aneurysm) and underwent surgery. At this time, she was also found to have inflammation in her gallbladder (cholecystitis), which was removed as well. However, the pain continued even after her gallbladder and spleen were removed. She was then diagnosed with an inflammatory gastrointestinal disease (eosinophilic gastroenteritis).

Around this time, she started experiencing severe fatigue and cognitive issues. She felt like she couldn’t do multiple activities at once, like driving and listening to the radio. She started having other symptoms as well, like night sweats, migraines, loss of balance, blurry vision, joint pain (arthralgia), muscle pain and weakness, and high white blood cell and platelet counts (leukocytosis, thrombocytosis). Testing so far has been unable to identify a diagnosis.

• Obstructed blood flow to spleen (spleen infarcts)
• Gallbladder inflammation (cholecystitis)
• Decreased number of small peripheral myelinated nerve fibers
• Adrenal gland disorder (central adrenal insufficiency)
• Low thyroid function (hypothyroidism)
• Difficulty swallowing (dysphagia)
• Migraines
• Blurred vision
• Double vision (diplopia)
• Itchy skin (pruitus)
• Hair loss (alopecia)
• Small hole in the heart (patent foramen ovale)
• Asthma
• Partial lung collapse (atelectasis)
• Fluid in left lung (pleural effusion (left))
• Sleep apnea (obstructive)
• Back pain
• Right wrist weakness (moderate right median neuropathy at the wrist)
• Diarrhea
• Abdominal pain
• Gait imbalance
• Burning/prickling sensation (paresthesia)
• Involuntary limb movements during sleep (periodic limb movement syndrome)
• Elevated platelet count (thrombocytosis)
• Elevated white blood cell count (leukocytosis)
• Glucose intolerance
• Hyperlipidemia
• Vitamin deficiencies (vitamin B6, B12, D)
• Night sweats Fatigue
• Memory impairment
• Poor concentration
• Joint pain (arthralgia)
• Muscle pain (myofascial pain)
• Muscle weakness
• Arthritis
• Depression
• Anxiety
• Obesity
• High blood pressure (hypertension)

• Entocort – eosinophilic gastroenteritis
• Prednisone