chronic virus? autoimmune?

[Guest guest]

39 yo M presents with 6mo hx of intermittent dizziness followed by a chill that

begins on occiput and radiates down neck and arms to fingers. Dizziness

described as if standing from sitting but occurs at rest and walking, not on

exertion. This experience lasts 5 seconds and happens anywhere from 2-10x/day.

The patient has sought medical diagnosis from neorologist with negative results

on CT/MRI and neuro exams and was turned away. Not related to hypoglycemia.

Thinking a possible chronic virus affiliated with long-term congestion?

Though the dizziness is the patient's priority for his first visit, it is

difficult not to focus on his astounding dermatological presentation. For the

last 1.5 years, the patient has had severe SEBACIOUS DERMATITIS on eyebrows,

cheeks, mustache and chin, temples and back of head. PSORIASIS was diagnosed on

his genitals one year ago and is unwavering. WARTS have been numerous and

constant on his fingers even with cryo, though tx of Zinc 50mg/d has helped

clear them up (No hx of warts other than 1 wart 20 years ago on foot). Other

skin changes: numerous SKIN TAGS, and TINEA of toenails, pitting and straiations

of fingernails (likely sign of psoriasis), and brief ALOPECIA of beard which

grew back within a month of an " injection " by his dermatologist.

Other signs:

8 year hx of CONSTIPATION better with less dairy and salads, " best days of his

life " were on HMF Replete.

8 year hx of CONGESTION reacting to wheat and beer. Worse in last 6 months. Now

has excessive clear coryza. Sinus headaches with frontal lobe pressure, neti pot

helps. Dry eyes becoming more severe.

Hypoglycemia sxs: shaky, blurry eyes, irritable when hungry. Cannot go more than

5 hours without eating. (of course, he is instructed to eat protein q2-3 hrs)

Extremities- hands and feet have always been very cold and sweaty. Socks are

often wet which makes even colder. No stink.

Possible exposure in last 5 months (after onset of sxs)- drives city truck that

has shelves of paint stored in it, stinks.

No anxiety/depression. VERY calm and prefers apathy over worry. Active, fit

cyclist eats well with extremely high metabolism, always hungry and has

difficulties putting on weight. Sleep and energy great. M/S includes pain from

rotator cuff injury (13 yrs ago) and hip pain for last 10 years. No traumas,

changes or stressors in last 1.5 years or ever.

This patient is of a psoric miasm though the sycosis of all of these skin

growths is curious. His wife is of STRONG sycosis, so...

This appears to be an autoimmune case with likely blood sugar dysregulation.

Adrenal insufficiency does not seem to be in forefront. I see the value of GI-LV

-> SKIN-SINUS connection which is where I'm beginning treatment this month. But

could it be a chronic virus from 6 months ago? How else would I focus on the

dizziness and chill? Maybe circulation?

Plan is to obtain lab records from 6 mo ago when dizziness began. Investigate

hypoglycemia. Ultimately, we want to decrease inflammation and nurture the liver

with the following:

1. Unda 1, 20, 258- liver, liver, liver, open emunctories

2. NAC 1000mg/d- to address congestion and liver support

3. Lots of hydro inc eucalyptus steams, contrast hot/cold to sinuses/occiput

4. BTGs

5. Super EFA 1 Tbsp/d

6. HMF Replete 1/2 sachet per day x2 wks

7. Zinc 50mg/d

8. Gluten=free, dairy-free diet, protein q 2-3 hours

Thoughts on how to address the priority of dizziness when dermatological/liver

picture is so strong? Any discussion on the topic would be appreciated.

Thanks!

Birr, ND

Port Townsend, WA