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30 Mar 2003

Medication for Bornholms Desease
Dear Doc

Due to severe pains accross the top of my back, I went to a doctor, who told me that I had Bornholms Desease. Apparently, this is normally treated with Voltaren, but being asthmatic, I am not able to take any antiflamitory drugs. I am wearing large white patches on my back and am having to take pain killers every 4 hours. Could you possible tell me if there is any alternative medication of this ailment, and also what causes this. I only know that the pain is extremely severe.

Many thanks
HELENA ERNST
Answer 422 views
Expert
CyberDoc
CyberDoc

01 Jan 0001

Helena, Bornholm’s disease or epidemic pleurodynia may occur at any age but is most common in children. There is sudden onset of severe, frequently intermittent, often pleuritic pain in the epigastrium or lower anterior chest, with fever and often headache, sore throat, and malaise. Local tenderness, hyperesthesia, muscle swelling, and myalgias of the trunk and extremities may occur. The disease usually subsides in 2 to 4 days, but relapse may occur within a few days and symptoms may continue or recur for several weeks. Up to 5% of cases are complicated by aseptic meningitis, orchitis, and, less commonly, fibrinous pleuritis and pericarditis.
Diagnosis is obvious during an epidemic. However, in sporadic cases or in the early stages of an epidemic, the disease may be mistaken for spontaneous pneumothorax, acute appendicitis, pancreatitis, costochondritis, a perforated viscus, an influenza-like respiratory infection, or MI. Laboratory diagnosis consists of demonstrating a rise in specific neutralizing antibody titers or isolating the virus on a throat or stool culture.
Prognosis is good in uncomplicated cases, although a few deaths have been reported. Repeated infections with another of the group B coxsackieviruses is possible. Treatment is symptomatic with anti-inflammatories, painkillers and physiotherapy. Good luck.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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