My daughter is suffering from abdominal pain in LRQ with vomiting, joints pain, rashes on legs, mouth ulcers?

My daughter is 12 yrs old she is suffering since 1.5 year from abdominal pain in LRQ with vomiting ,joints pain , rashes on legs ,mouth ulcers , rebound tenderness localized in iliac fossa. symptoms disappear for nearly one week then returned appendectomy was done without any change in symptoms. CT,Abdomen U/S, MRI,Colonoscopy ,blood tests ,urine analysis ,stool analysis are normal. Paediatric Gastroenterologist diagnosed as FMF but the gene test was negative no response on colchicine 2mg/day

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Dr Ahmed FawzyDr.HoneyDr. Ayman Darrag Recent comment authors
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Dr. Ayman Darrag
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Dr. Ayman Darrag

Hi,
My opinion is to consider ulcerative colitis or celiac disease,gluten sensitivity .
So a barium xray and colonoscopy can help diagnosis as well as gluten sensitivity test..

Dr.Honey
Member
Dr.Honey

Hi..
I suspect food related intolerance like Gluten Intolerance..

You should get investigations like
Total IgA
IgA-tTG
IgA-EMA
If IgA is low , IgG TTG or IgG-DGP may be ordered as screening tests. At the discretion of the pediatrician, IgG-AGA can also be ordered.

Hope this helps.

Dr Ahmed Fawzy
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Dr Ahmed Fawzy

Hi
My opinion this is Henoch-Schönlein purpura , I recommend seeing a doctor specialized in vascular disease

Good Luck