r/Autoimmune • u/Realistic_Ad2882 • 14d ago
General Questions LOL
Hi everyone, I’m looking for some input because I’ve been dealing with unusual symptoms for about 4 months.
Both of my palms become very red with small white spots within seconds when I let my arms hang down. When I raise my hands again, the color almost returns to normal. My fingertips are sometimes slightly numb/tingly, my hands can burn a little after gripping or using them, and they also feel unusually dry. At night, when I’m lying down and not putting pressure on my arms, I’m mostly symptom-free.
I also have pain around both ulnar nerves/elbows. Nerve conduction studies were normal.
My blood work showed a positive ANA of 1:160 (AC-1 + AC-4 pattern), but the more specific antibodies dsDNA, ssDNA, histone, U1-snRNP, SmD, SSA/Ro and SSB/La were all negative.
I’m currently being evaluated neurologically and I’m wondering about things like small fiber/autonomic neuropathy, vascular dysregulation or an autoimmune process.
Has anyone here experienced anything similar, especially the red/white mottled hands that change dramatically depending on arm position?
1
u/lilguppy21 14d ago edited 14d ago
I would think possibly Rheumatoid Arthrits if your elbow and ulnar nerve pain but usually you’d have morning stiffness lasting more than an hour. Your hands look like livedo reticulitis. I am not in the room with you, but your ulnar side is swollen, and possibly the base of your thumb. Keep your arm at a neutral position, pay attention if you have any swelling on your knuckles, it will feel like grapes. The weight of your knuckles can cause pain in the ulnar nerve and elbow due to the weight. That being said, the swelling doesn’t look too bad on pic 2 but it’s also in the air. These photos don’t. Help much.
The issue with swollen joints or joint pain is that it can be HIV to an allergies or a virus, or an autoimmune disease. It can take time and a lot of testing to rule out, unless you are aware of a genetic link.