Facial Swelling - no diagnosis

Posted by lily2013 @lily2013, Jan 22, 2018

The illness that I am about to write about has occurred over the last two years and is still ongoing. Two years ago this month I noticed the beginning of facial swelling. It started on both eyelids and then migrated to both cheeks and then to my Parotid glands. Within two months my face was noticeably puffy and swollen. To this day, the facial swelling is still there and NO other parts of my body have been affected.

Initial trips to my primary care physician, Emergency Room visits, two ENT’s and an allergist yielded zero results and no opinions of what was possibly wrong. Following that I made the decision to go to a holistic doctor. He ran multiple blood tests, allergy tests(high yeast count which prompted him to put me on the Candida diet; this did nothing), thyroid tests (low Normal results, he suggested Synthroid but recommended the diet initially). Acknowledging that there may be something bigger than he could handle he recommended me to a special diagnostic clinic at Emory Hospital in Atlanta.

The unit at Emory consisted of a number of specialists who saw patients with undiagnosed conditions. The disciplines they represented included; ENT, Hematologist, Rheumatologist, Endocrinologist, Immunologist. Over the course of three months I had individual appointments with each group. The bloodwork that each doctor ordered came back with no indication of any illness outside of a low white blood count and low platelet count. As part of this process I also had chest x-rays, biopsy of sub-mandibular gland, head and neck CT scan, Bone marrow biopsy which also came back normal. I left Emory because they told me that they couldn’t identify what was wrong with me and frankly didn’t have any defined next steps.

I then decided to go to an infectious disease doctor and all of the tests that were run came back negative; Lymes disease, infections etc… The doctor could clearly see my facial swelling and she recommended that I go back to a rheumatologist, which I did.

The Rheumy, who I have been going to for the last 5 months, reviewed all of my past history of blood test results and previous doctor’s notes. He diagnosed me with what he termed an immune deficiency which he felt was manifesting as an auto-immune disease, even though all my blood work never revealed any markers for any known auto-immune diseases and I don’t exhibit any symptoms from the neck down. He prescribed a course of Prednisone over a 6-week period/20mg/10mg/5mg (facial swelling was extremely responsive and face looked normal BUT swelling returned within three days of going off the steroids). He then prescribed plaquenol with a low dose of prednisone(5mg) which I have been on for 90 days now and the swelling has not gone away. My Rheumy has mentioned going on either, Azathioprine, Methatrexate or Sulfasalazine to see what that would do but I have opted not to because I feel that I need a valid diagnosis prior to taking any drug like that.

I am not sure if this is truly a rheumatological or an endocrine issue. I have exhibited zero markers for a rheumatological disease and only a low normal for thyroid disease. I am writing to see if anyone out there has experienced a similar situation, I am at a total loss as to where to go next. Any shared thoughts and ideas are welcome.

Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.

@keithwalker

You may want to try Functional Medicine. Contact a Dr James Farley in Mahwah NJ (973) 978-4197. He is an autoimmune specialist.

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That is what I also am dong & it is the only thing that helps me.

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Have the doctors looked into fungal infections of sinus or anywhere else in her body? I have had a lot of her symptoms (not as extreme) & am now up at National Jewish Hospital in Denver trying to figure out the cause of my illness. What I have learned on my own is that I may have fungal infection as root of cause. I was looking at photos of people that have serious fungal infections & your daughter's photos look similar. I am so sorry for your daughter & you but please push to have fungal infection ruled out. It is hard to detect & a lot of doctors do not know how to test for this A good ENT should be able to see if infection is in sinuses. Also, a functional Med Dr. may really be able to help. The only reason I am able to write you now is because of functional med Dr. & oil of oregano & grapefruit seed oil.
Another cause for your daughter's declining health could originally stem from her stomach - I mean it could have started in her stomach as mine did. Then it effected my face, facial glands, eyes, etc. Please research & call in to a functional med dr ( a very good one) - who might be the best help for your daughter yet.

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Look into leaky gut as it can start a host of terrible side effects as I have been going through.

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@keithwalker

My name is Keith Walker and I would like to introduce you to my daughter, Ms. Jordyn Rose Walker. She is a 15 year old child who has a mystery illness. She has been treated in three (3) different hospitals by 100s of medical professionals since 2007 and no one can figure out the root cause of her medical condition. As a matter of fact, after her 2017 episode, she was discharged from the hospital by doctors who assured us this was a “One in a Million Occurrence”. We have had 13 years of medical treatments (for symptoms that is) without any progress toward identification of the root cause of her illness or coming remotely close to a diagnosis. In the last 19 months, the secondary complications of this illness has robbed Jordyn of her sense of taste, smell and most recently, she has lost her sight…she is now permanently blind.

If you Google Jordyn Walker's Cause Research, you can see our Facebook page intended to create visibility to her Illness

I am posting this message with the hope that your research hospital will consider seeing her. We respectfully request you make this post visible to all of your talented autoimmune specialists and research physicians.

I can provide her most recent medical discharge summaries from the New Hanover Medical Center, Wilmington NC (July 2017) and the Kansas University Medical Center in Kansas City Kansas (2018). Additionally, there are photo-timelines for both her 2017 and 2018 episodes, and a 2018 Children’s Mercy Hospital Health History.

Overview of Jordyn’s Medical History:
-at 2 Jordyn was diagnosed with HSP
-at 3 she was diagnosed with Colitis
-at 4 she was diagnosed with Osteomyelitis - had surgery to remove
-at 5 she was diagnosed with Osteoarthritis
-at 6, 7, and 8 she was hospitalized for various bouts with colitis at Children's Mercy South - with no diagnosis
Between the ages of 2-8 she had repeat sinus, ear and bronchial infections between Aug-Dec followed by bouts with colitis the following February each year from ages 5 thru 9 years old.

Between 9 and 13, she had minor bouts of colitis but many less infections. In the summer of 2017, the colitis escalated into an extraordinary reaction that resulted in severe hemorrhaging from here mucous glands, extreme facial edema, and necrosis of the tissue on her face, in her mouth nose and throat which resulted in her loss of taste and smell.

In December 2018, the colitis transitioned much more rapidly to facial edema was followed up with exact same symptoms - uncontrollable runny nose, aching teeth, voluntary facial muscle twitching/failure - which precede the extreme body and facial swelling. The 2018 episode has left her permanently blind, as the swelling damaged the optic nerve beyond the capabilities of today’s medical science to repair it.

Thank you in advance for your consideration.

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Hello my name is Beryl .....all I can say after reading your post is...I am so sorry for you and your family to have this terrible thing happen to your daughter ...I just hope there is somewhere someone that can bring some understanding of this so that there can be an end to this horrible life your poor daughter has endured and bring some quality of life to you all .....God Bless you all......Beryl

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@keithwalker

My name is Keith Walker and I would like to introduce you to my daughter, Ms. Jordyn Rose Walker. She is a 15 year old child who has a mystery illness. She has been treated in three (3) different hospitals by 100s of medical professionals since 2007 and no one can figure out the root cause of her medical condition. As a matter of fact, after her 2017 episode, she was discharged from the hospital by doctors who assured us this was a “One in a Million Occurrence”. We have had 13 years of medical treatments (for symptoms that is) without any progress toward identification of the root cause of her illness or coming remotely close to a diagnosis. In the last 19 months, the secondary complications of this illness has robbed Jordyn of her sense of taste, smell and most recently, she has lost her sight…she is now permanently blind.

If you Google Jordyn Walker's Cause Research, you can see our Facebook page intended to create visibility to her Illness

I am posting this message with the hope that your research hospital will consider seeing her. We respectfully request you make this post visible to all of your talented autoimmune specialists and research physicians.

I can provide her most recent medical discharge summaries from the New Hanover Medical Center, Wilmington NC (July 2017) and the Kansas University Medical Center in Kansas City Kansas (2018). Additionally, there are photo-timelines for both her 2017 and 2018 episodes, and a 2018 Children’s Mercy Hospital Health History.

Overview of Jordyn’s Medical History:
-at 2 Jordyn was diagnosed with HSP
-at 3 she was diagnosed with Colitis
-at 4 she was diagnosed with Osteomyelitis - had surgery to remove
-at 5 she was diagnosed with Osteoarthritis
-at 6, 7, and 8 she was hospitalized for various bouts with colitis at Children's Mercy South - with no diagnosis
Between the ages of 2-8 she had repeat sinus, ear and bronchial infections between Aug-Dec followed by bouts with colitis the following February each year from ages 5 thru 9 years old.

Between 9 and 13, she had minor bouts of colitis but many less infections. In the summer of 2017, the colitis escalated into an extraordinary reaction that resulted in severe hemorrhaging from here mucous glands, extreme facial edema, and necrosis of the tissue on her face, in her mouth nose and throat which resulted in her loss of taste and smell.

In December 2018, the colitis transitioned much more rapidly to facial edema was followed up with exact same symptoms - uncontrollable runny nose, aching teeth, voluntary facial muscle twitching/failure - which precede the extreme body and facial swelling. The 2018 episode has left her permanently blind, as the swelling damaged the optic nerve beyond the capabilities of today’s medical science to repair it.

Thank you in advance for your consideration.

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@keithwalker I can only imagine the pain you must be going through. There is nothing worse than to see your child in agony and not having a diagnosis would only make it so much worse.
I sincerely you find a diagnosis and solution to help her.
JK

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@ginjax28

Look into leaky gut as it can start a host of terrible side effects as I have been going through.

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Have discussed with functional medicine professionals. When the mega doses of prednisone wear off, we will pursue the testing and the naturalist approach. Thank You

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@contentandwell

@keithwalker I can only imagine the pain you must be going through. There is nothing worse than to see your child in agony and not having a diagnosis would only make it so much worse.
I sincerely you find a diagnosis and solution to help her.
JK

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Thank you for your thoughts, kind words, and prayers!

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Keith, that is great & do not forget about checking out possible fungal infection as these are missed more often than you think.

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My 15-year-old son has suddenly developed facial swelling on his forehead and sealing his eye. I have taken him to the emergency where they did a CT scan, blood tests that came back negative. They have put him on Doxycycline and Claritin. It's been over a month and the swelling looks like it's getting worse. The doctors we've seen at Kaiser have explained that they don't know what's going on. Our general doctor referred us to a dermatologist and the dermatologist has also shared that he doesn't know how to help. As a mother, I know in my heart something is severely wrong. Does anyone have any suggestions in the direction I should be seeking?

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@vvil198 - Do you have any university hospitals close to you or are you close to any of the Mayo Clinic facilities? This is always so frustrating not getting any help from your regular doctors.

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