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Jill Hand

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Hi Jill:

I sent you an e-mail off list. Did you receive it?

Also, my 17 yr. old OI, POTS, HEDS w Marfans has developed petechia,

about 15 on her legs from groins down. They are not situated in joints

but are primarily on muscle areas. Also, about 2 weeks ago I noticed

her having the occasional small bruise, size of dime or less, of unknown

origin.

Seven days ago her Florinef O.1mgm was increased to BID, 8am and 6pm.

Has anyone ever experienced this and is this a consequence of increasing

the fluid and salt retention.

Additionally, approximately 3 weeks ago she was stated on midodrine

10mgm I believe, once a day Mon. to Fri at 4 p.m. and 3 times a day

Sat. and Sun (non school days) when she does not take the long acting

Dexedrine 10mgm. Has anyone experience this. These petichiae very much

resemble tiny, tiny spider veins. It certainly would make sense to me

that increased vasoconstriction with Midodrine could cause miniscule

bleeding from some surface vessels. I am taking her to the

paediatrician today but I know he is not familiar and wondered if anyone

could shed some light or had this occur. The midodrine is very, very

helpful and she notices a large decrease in fatigue but her greatest joy

has been the ability to relax in a bath and soothe her muscles without

getting lightheaded, woozy and totally exhausted when she gets out.

That may seem like small potatoes to other folks but it is a huge, huge

thing to her.

Any experience others may have had or guidance would be appreciated.

With thanks! Bernie, Totonto

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