Patient :Hi, my son has felt unwell for some weeks now. Main symptoms are a rash, knee joint pain, fatigue, headaches, sore throat etc. We have been to the doctors and the hospital who, after tests (blood, urine) diagnosed a virus. It has been nearly 3 weeks now and I'm concerned it could be something more serious. When you read about these symptoms it points to some very nasty diseases such as Leukemia. Although I assume this would stand out in the blood work.
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Symptom profile my indicate to many etiologies but its the investigation that confirms or rules out the probable diagnosis. Leukemia although it presents with same symptoms but there are numerous signs on general examination and then blood workup would have shown presence of excessive number of abnormal cells. Also viral infecrion with rash & joint pain is much more common than leukemia. Then comes some other etiologies before a provisional diagnosis of leukemia is made. Lastly the symptom profile of leukemia is a crescendo type which means symptoms hardly settle down and there is worsening of symptoms without medication/treatment specific for leukemia whereas viral arthritis/ urticaria slowly settles with supportive medication.
Post viral arthritic pain are slow to resolve may even take 3-4months. Recovery is quick in children. In adults it may take up to a year. This is a self limiting condition with medicine and hot fomentation playing a supportive role rather than a curative role.
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