question: sir,i m 32/m/india.i m obase.wt 95 kg ht 175cms.having a male baby aged 6 months.i m suffering from dermatitis herpitoformis last 2.5 yrs & having no reliefe with different treatments.recently i m having multiple boils in my scalp.with antibiotics i got reliefe.gone through routin test...total count is higher which is 12.6 serum alkaline phosphate is higher,i.e.164.s.triglicerides,cholestrole all r bit higher then normal.urine is clear.in ct head having frontal maxillary spenoid sinusitis bilat.the biggest worry is cardiomegally in x-ray chest.s.alkaline is increased due to cardiomegally?or dermatitis?or early arthritis?or some amylodisis?please give me direction to follow.i hate to excercise.i love gambling.i daily play i.e.gamble.love to get excited.but last few weeks i noticed i get very nervous & feel palpitation while gambling.i m heavy smoker.i drink casually.