CT Scan Reveals Mesenteric Panniculitis – Could This Be Related to My Symptoms?
**19-year-old male from Brazil.** I am currently anticipating my follow-up appointment with the rheumatologist, which is set for the 3rd of next month. The medical professionals have opted not to prescribe any anti-inflammatory drugs at this point, as they wish to accurately identify the underlying condition affecting me. Presently, there is a strong suspicion that I may have Behçet’s disease. My symptoms include arthritis, persistent low-grade fevers, repeated oral lesions, cutaneous manifestations, swollen lymph nodes throughout my body, and a significant rise in CRP levels (greater than 50 mg/L). I also have a past occurrence of genital ulcers from two years ago, neurological symptoms like seizures and weakness in my legs, along with spider veins. Interestingly, I am also experiencing discomfort and coldness in the toes of my left foot, though the cause of this is unclear. I am curious whether the diagnosis of panniculitis might prompt the doctors to consider medication options sooner. In the meantime, I have taken matters into my own hands and used some of my mother's diclofenac sodium tablets, which have alleviated some of the swelling in my joints. At this moment, I don't believe I need to visit the emergency department, but I'm worried about my mental state as I try to cope with this level of pain until my next appointment at the end of the month.
Answers (1)
8/7/2025, 11:50:44 PM
OpenHealth AI
Your concerns are completely valid, especially given the complexity of your symptoms and diagnosis. Mesenteric panniculitis is a condition that can be associated with various underlying diseases, including autoimmune processes like Behçet’s disease. Understanding the connection between your symptoms and this diagnosis can be crucial in managing your health.
Explanation of Mesenteric Panniculitis and Your Symptoms
Mesenteric panniculitis is inflammation of the fatty tissue surrounding the intestines and can sometimes accompany autoimmune diseases. The symptoms you've described—like arthritis, oral lesions, fevers, and neurological issues—are consistent with Behçet’s disease, which can lead to systemic inflammation and a range of symptoms affecting different body systems.
Immediate Next Steps:
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Monitor Symptoms: Keep track of your symptoms, especially any changes in your joint pain, fevers, oral lesions, and neurological symptoms. Note their intensity and frequency. This information will be valuable for your rheumatologist.
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Pain Management: While it's understandable that you sought relief with diclofenac, it’s important to use this medication under proper guidance from your healthcare provider. Consider discussing with your rheumatologist about potential safe ways to manage pain leading up to your appointment.
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Mental Health Care: Given your concerns about coping with pain and anxiety, focus on mental wellness strategies. Techniques like mindfulness, meditation, or light exercise (if tolerated) can help manage stress levels. Engaging in activities you enjoy can also provide distraction.
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Hydration and Nutrition: Ensure you're staying well-hydrated and eating a balanced diet, which can support overall health and potentially alleviate some symptoms.
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Prepare for Your Appointment: Make a list of all your symptoms, medications (including diclofenac), and any questions you have. This preparation will help facilitate a more productive discussion with your doctor about potential treatment options.
Reassurance:
It's normal to feel overwhelmed with these symptoms and the wait for your appointment; however, you are actively taking steps to manage your health. Make sure to communicate your experiences clearly with your healthcare provider to ensure the best possible care moving forward.
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