Initial signs polyarthritis. Since starting Pred those signs have not been present. Current Chinese exam: pulses deep thin, sl weak, well toned, tongue sl red at tip rest of tongue sl pale. nose cool dry, ear tips &feet; cool
Active points were TH3, LI4& SI3,LI11. ( I have needled them before but last visit way too painful.) Her lab work indicates mild-moderate elevations in ALT,AST,ALP, & GGT. These have been tested 4 times since October and most have continued to inch up slightly. The ANA titer had come down to 1:64 last month but now is up to 1:256 (the high was1:512 in Oct) and she now has bun41 /creatinine 2.1. This is the first indication of any kidney abnormality. General activity /Shen is good and actually as good as she has been since she first got sick.
Clients are not excited about the idea of increasing the pred since she has already gained 5 lbs since Oct. Any thoughts /suggestions would be appreciated. Thank You