instruction: hello doctor I was diagnosed with mugs ga when I was seeing a neurologist for some burning in my palms of my hands and soles of my feet which is awful at night and prohibits me from sleeping this has been going on for six months but has gotten worse so I went back to the neurologist ordered an mri for next week to see if the six white matter brain lesions I had were changed since the mugs I followed up with hematologist three times and he said my numbers are so low they do not show up on spike all other labs were normal I saw a dermatologist to see if burning was skin related she said no maybe vascular so I saw a cardiovascular doctor who is also running tests I also saw a rheumatologist so does not believe it is rheumatology based on blood work my question is if my numbers at hematology were so low they do not show spike could they be causing the random burning in the palms of my hands and soles of my feet just want answers and as of right now I get the neuro saying it is mugs and hematologist saying it neuro I am scared and exhausted please help my primary complaint is burning red palms of my hands and red soles of my feet not fire engine red just slightly red my hands tend to get a little swollen on the top and my veins are swollen and then it goes away and my hands are looking normal and are cold sometimes well it happens all day regardless of what I am doing with the activity is it randomly pops up definitely when I am moving around or running the vacuum or doing something like that but it is really bad at night so far I have done myeloma profile abc ana and cop tests
output: hi welcome to ciliniq com I am sorry to hear with regards to your complaints and how much you are going through I have seen your hand pictures to be frank it is really a tough case there can be a few things that can be looked for chronic inflammatory demyelinating disorder rarely mugs monoclonal gammopathy of undefined significance can be associated with neuropathy it can be raynaud phenomenon any heavy metal related I have a few suggestions which you can ask your neurologists or hematologist if they have thought about them did anyone think of getting a nerve conduction study later on can a nerve biopsy give an answer if we are thinking cid chronic inflammatory demyelinating neuropathy sometimes can any heavy metal can cause this kind of symptoms lab work for raynaud phenomenon if your symptoms fit into that criteria looks less likely though any remote chance of amyloidosis there is a test for that as well known as fat pad biopsy please ask the doctors to consider these points to your question mugs has been shown to have an association with neuropathy related pain though less likely I am here always if you need further guidance I hope this helps