Mar 23, 2007
I am a 28-year-old Male. From last 1-1/2 years I am HIV positive and my CD-4 counts are 350. Till now I have not started any medications. But from last one month I am having severe Joints pain, which include almost all joints like Hip joint, ankle joint, knee joint, wrist joint, shoulder joint, and finger joints. My doctor did my following test: 1) RA test, which was normal. 2) Uric Acid Test, which was normal. 3) Platelets count, which was normal. 4) ESR, which was slightly elevated.
Before these test I was on Tab Voveran (pain killer) and it was giving me relief from pain, but after seeing my Test Reports my doctor has asked me not to take Voveran any more and now he has started Calcium Injection (Once in a Month) and Calcium Tablets. But still I am experiencing joints pain. I have a history of Kidney stones (In 1998). I was an Alcohol dependent but from 1-1/2 years I have reduced it to once in a Month.
So I want to know that what other test should be done to diagnose reason for my joints pain. I would also like to know that, with history of Kidney stones is it advisable to continue with calcium supplement which my doctor has prescribed me.
Response from Dr. Henry
Have you had a DEXA scan to evaluate bone calcification levels? A complete history and physical by a rheumatologist is often helpful to sort out diagnostic possibilities (HIV infection can sometimes trigger/aggravate some joint problems like Reiter's syndrome). Gout other infections can trigger diffuse joint pains. KH
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