Pain In Various Parts Of The Body, Accompanied By Weakness, Fatigue, And Skin Rash?

Illustration of Pain In Various Parts Of The Body, Accompanied By Weakness, Fatigue, And Skin Rash?
Illustration: Pain In Various Parts Of The Body, Accompanied By Weakness, Fatigue, And Skin Rash? rothmanortho.com

Good morning Doctor, r n Introduce me Widya, a woman aged 27 years. R nIt has been about a year that I feel tired easily, until finally in April 2018 my body really hurt, where my shoulders, arms and fingertips were felt sore and stiff, to type and move the mouse while operating a computer just hurts. Even when I sleep, I can’t tilt either to the left or the right. Finally I decided to go to a doctor, around from the beginning of May 2018 to July 2018 I went to an internal medicine doctor regularly and did a lab check. From the lab results, it was stated that there was a deficiency of Vitamin D, because vitamin D in the body was only 9. In addition, during that period there were several things too, for my LED’s getting higher (actually my LED has been above the standard for 3 years), the rheumatoid factor is getting higher Finally at 39, the hemoglobin decreased slightly and the leukocytes decreased at last to 4500. However, the ANA and CCP tests were good. in the hands, fingers, feet, including the shins, spine. Especially if I do strenuous activities. For example, lifting heavy objects, or relaying the house afterwards, I must have felt bad, gasping for breath, tired, all sick, even limping, hands / feet felt stiff until fever. R n r nThe pain was not felt every day, but for stabbing pains and aches almost every day. r n r nIf the body is already sick, it feels every day is not special, only in the morning or at night. r nBut all day long I feel pain. r n r nThe left chest also felt stabbed to the back. r n r nBesides that, the hair fell out too. r n r nAnd now there are more complaints, my neck skin suddenly got a bit of a rash, dry, speckled and rough without cause. It doesn’t itch, either. R n r nFor vit d itself, thank God it has now risen above 30, after I took 5000IU of vitamin D every day. R n r nDuring April to July I consulted with an internal medicine doctor and diagnosed with Rheumatoid Arthritis and was given pain relievers for autoimmune too but I took it if the pain was really unbearable, besides that I was referred to a rheumatology specialist. But when I went to the rheumatology specialist, I was only there to press the hands and feet, but I didn’t feel any pain, because the pain was inside the bone, not outside. R n r nI was also told to do nothing and was told to stop drug consumption. And come back again if the pain really feels. Here I am confused, what are you actually sick? Is it true that the series of pains that I have felt so far are “pain that is okay”. Please enlighten me. thanks.

1 Answer:

Hi widyarohadi,


Thank you for asking HealthReplies.com.

Pain in various parts of the body, accompanied by weakness, fatigue, and skin rashes as you experience can indeed be caused by one of them due to vitamin D deficiency and rheumatoid arthritis.


Vitamin D is vital for its function to build bone strength. This vitamin helps the body absorb calcium from the food and drinks you consume. Normally, the level of vitamin D in the blood is in the range of 20 to 50 nanograms / milliliter. Vitamin D deficiency can cause sufferers to experience bone pain and muscle weakness. Not only that, vitamin D deficiency is also often associated with rickets, which is a disease in which bone tissue is not well mineralized, resulting in easy fractures and sexual deformities. Inadequate intake of vitamin D also increases your risk of developing heart and blood vessel disease, decreased cognitive function, asthma, and cancer. Vitamin D deficiency can occur due to inadequate dietary intake, less exposure to sunlight, black skin, impaired kidney function, digestive disorders, and so on.


Rheumatoid arthritis occurs when joints become inflamed due to an autoimmune disorder that attacks the membranes that line joint fluid. This condition causes inflammation, not limited to the affected joints, but also to the cartilage and surrounding bones. The exact origin of this condition is not known. However, genetic factors, smoking habits, environmental exposure (such as asbestos or silica), as well as obesity can increase your risk of developing this disease. Patients with rheumatoid arthritis can experience complaints in the form of joints that feel pain, swelling, redness, feeling weak, tired easily, accompanied by other systemic symptoms, namely fever, drastic weight loss, skin rashes, and so on. The diagnosis of rheumatoid arthritis is confirmed through several tests, including blood tests (to assess erythrocyte sedimentation rate (ESR), C-reactive protein, rheumatoid factor (RF), anti-cyclic citrullinated peptide (CCP)) and radiological examinations to evaluate the condition of the joints. affected.


Not only the two conditions above, it could also be that the complaints that you are currently experiencing arise from other causes, for example fibromyalgia, lupus, viral or bacterial infections, osteoarthritis, psoriatic arthritis, malignancy, psychosomatic disorders, connective tissue disorders, and so on. High RF levels not only indicate rheumatoid arthritis, but can also be due to cancer, chronic infections, lupus, and so on. Meanwhile, a high ESR level only indicates chronic inflammation in the body, but does not specifically refer to a particular disease.


It is very difficult to determine the cause of your complaint based solely on the complaint information and examination results as described by you. Comprehensive examination is required to find the correct diagnosis of your complaint. If you have seen a doctor before, given treatment, and it is stated that there are no dangerous conditions to worry about, then you really don't need to worry. However, if you still have doubts about the results of the doctor's examination, you can seek a second opinion by going to a doctor, internist, or other neurologist. That way, doctors can provide the best treatment according to your current condition.


Our suggestions for you at this time:

Do lots of positive activities to divert your pain and other complaints, for example by socializing with the environment, doing hobbies, working, worshiping, and so on.
Routine exercise 1 to 2 days so that stamina is maintained
Do not massage or overuse painful areas of the body
Maintain your immune system by eating healthy and nutritious foods
Not stressed or excessively sad
Always live a healthy lifestyle

Hope it helps ..

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