Sad enough, I had developed pustules again in my 5th LIT. My immunologist new task is to find out what is causing the infection. Chest X-ray, hepatitis test and pap smear were requested.
Chest X-ray: previous x-rays were PA view and lateral view. Recent test includes the apico oblique view. The impression was: I have small lesion in the apex of the lungs. This is usually not visible in the PA and lateral view. How can the radiologist conclude that it was an old lesion? It may be an active tuberculosis. Uhu Uhu Uhu... Uhu.
Hepatitis: negative
Pap smear: no result yet. The obgyne's remark was no sign of infection.
Uhu Uhu Uhu... I have tuberculosis. How can this be? I never did the apico oblique xray view of chest before. What if I had that lesion 2 years ago? But two years ago I had taken prednisone for my two bouts of uveitis. In theory, when my immune system was suppressed, it may have given the opportunity for tuberculosis to grow. I had prednisone again last year. Oh no, my tuberculosis is quite new. Uhu Uhu. Sorry, if I spread my tuberculosis germs while you were reading my blog. Uhu.
Out of no where, I found a decade old letter. My rheumatologist wrote a letter to the referring doctor. The letter mentioned I had taken several months of nsaids... and I had took methotraxate... I also mention tnf-alpha and infliximab. I says have ankylosing spondylitis. It says my rheumatologist requested and xray to serve as baseline since apical lungs lesion maybe a part of ankylosing spondylitis ... Suddenly, my immunologist changed his perception. He then commented I was driving him crazy. Why am I feeding him small fragment of info at a time?
Anyway, I thank that letter. My obgyne has also commented I should have submitted to her that letter on day1. I smiled and replied: I am stubborn. I may not believe in her until I tried.
Grr... granuloma sounds scarry.
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