Hello and thankyou for approaching DoctorSpring with your query. I have taken a look at the picture and gone through your symptoms. The symptoms that you are experiencing could be possibly be due to a drug reaction. It would be a reaction to a component in the injection. I would suggest you stop the injection and switch to oral supplements of Vitamin D.
The skin lesions in the picture do not appear to be bruises, but it is difficult to tell. It could be related to the drug reaction.
The weakness in your leg requires further evaluation. Could you please tell me more about the weakness that you are experiencing in your legs.
1) Does your footwear slip off your feet?
2) Do you have difficulty in standing from a squatting position or rising from a low chair?
3) Do you have difficulty in climbing stairs?
4) Do you feel that there is a difference in your gait (the way you walk)?
5) Do you feel tired when walking or heaviness in your legs?
Please answer the questions so that I can give you a better opinion.
Reply as a follow up.
Thankyou.
Patient replied :
Thank you,
The vitamin D is an oral pill but my insulin is injection and I inject only in my arm.
My footwear doesn't slip off
It has always happened after I sit and then stand
I have difficulty going down the stairs, to the point where I had to sit down and wait for my husband to carry me the rest of the way. Since I was so shaky and weak in the legs I didn't attempt to climb up the stairs when this happens.
I do not believe there is a difference in my walk.
I do feel it takes more energy to walk around and heaviness in my legs. At times it feels like there is a bunch of fluid in them.
I also have had really cold feet for some reason and every once and awhile when I am laying on the couch and they get cold, I also get tingly/pins and needles.
Skin sometimes is painful to the touch (Just running my hand up my leg)
There is no wounds to my feet or anywhere on my body and I found 4+ more reddish bruises on my leg today.
Thank you
Hello,
Your will need to get medical help as soon as possible. A direct diagnosis is not possible with symptoms analysis alone. You will require a complete neurological examination and blood tests.
You seem to have symptom pattern called a Proximal muscle weakness + rashes /bruises. This could be suggestive of an autoimmune disease or myositis. Other systemic inflammatory conditions can also cause this. The weakness need a complete neurological evaluation and further tests depending on the examination. This is unlikely to be related to the Vitamin D Deficiency . Conditions causing bleeding tendencies need to ruled out.
I will keep the consult open so that you can get back to me during the period of evaluation. Do make appointment with your Doctor for evaluation. This symptoms should NOT be ignored.
Hope this helps
Feel free to ask followups
Thank you