Conversation: The conversation between human and AI assistant.
[|Human|] I am 23 years old, female in generally good health. no allergies, no major surgeries I work as a certified nursing assistant in a care home. in Feb of this year I suddenly broke out in hives with fever and terrible body aches, swelling and soreness. had many, many blood tests, x-rays, etc. was placed on Prednisone and weaned off slowly, but once I got to 4 mg BOOM all the symptoms came back. there was never a definitive diagnosis, however the working diagnosis was human parvo virus. I have now been sent to a rheumatologist who had more blood tests done, but I am on 50 mg of Prednisone a day, so tests showed nothing, except continued inflammation. I am at my wits end
[|AI|]  Dear Patient, in my career, resistant hives were related with parasites. This is particularly true if gastroenteritis symptoms are coexisting. I recommend you to search intestinal parasites doing a direct microscopical observation of stools, then CBC is important to exclude high count of basophils (which are generally rare in normal CBC), total IGE, hepatic function. Then, I would perform an abdominal ultrasound and, if gastrointestinal symptoms are present, a colonoscopy and an ENDS. Let me know