Differential Diagnosis for 66 year old female Nepali with complaints of all over burning of her skin for a year
- Single most likely diagnosis
- Diabetes Mellitus: This condition is a common cause of burning skin sensation, especially in older adults. The patient's age and symptoms of burning skin all over her body for a year could be indicative of diabetic neuropathy, a complication of diabetes.
- Other Likely diagnoses
- Hypothyroidism: This condition can cause skin symptoms such as burning, itching, or dryness. It is more common in women and can occur at any age, including older adults.
- Vitamin B12 deficiency: A deficiency in vitamin B12 can cause neurological symptoms, including burning skin sensations. This condition is more common in older adults, especially if they have a poor diet or malabsorption issues.
- Menopause: Although the patient is 66, some women may still experience menopausal symptoms, including hot flashes and burning skin sensations, even after menopause.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Multiple Myeloma: This is a type of blood cancer that can cause a range of symptoms, including skin burning or itching. Although it is less common, it is a serious condition that requires prompt diagnosis and treatment.
- Sjögren's syndrome: This autoimmune disorder can cause skin symptoms, including burning or itching, as well as other systemic symptoms. If left untreated, it can lead to serious complications.
- Peripheral artery disease: This condition can cause burning or itching sensations in the skin, especially in the legs. It is a serious condition that requires prompt diagnosis and treatment to prevent complications such as gangrene or amputation.
- Rare diagnoses
- Fabry disease: This is a rare genetic disorder that can cause burning skin sensations, especially in the hands and feet. It is more common in men, but can also occur in women.
- Erythromelalgia: This is a rare condition that causes burning pain, heat, and redness in the hands and feet. It can be primary (inherited) or secondary (acquired) due to other medical conditions.