← Return to Prednisone for over a year along with Kevzara for last 5 months

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@dadcue

I just wish to add my thoughts about the rule that it's always something.

In my case "if it wasn't one thing -- it was the other." In terms of PMR and spondlyloarthritis it was sometimes both.

In terms of not being able to taper off Prednisone. It was either a flare of something or adrenal insufficiency but probably "a combination of many things."

As for being on Prednisone daily for more than 12 years --- "it was one thing after another" in terms of the side effects.

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Colitis might be an extra-articular manifestation of spondyloarthritis. I wonder if it is possible to have both RA and spondyloarthritis?

"Arthritis can be a symptom of many types of diseases, but thorough differential diagnostics allows for an unambiguous diagnosis in most cases. However, it should be kept in mind that one diagnosis does not necessarily exclude another."

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847317/

For the longest time, I confess to being guilty of thinking that "it could only be one thing."

I couldn't accept that all things are "likely multifactorial" as my primary care doctor said hundreds of times.

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Replies to "I just wish to add my thoughts about the rule that it's always something. In my..."

I will have to discuss that with my Rheumy.

The taper schedule for the ocular prednisone drops goes 4x/day week 1 post op, 3x/day week 2 and so forth for four weeks. Then off. I’m down to once a day on left eye and it has started to hurt. The one dose relieves it but it doesnt last until the next day. Fuess i will reach out to my doc tomorrow. Has anyone else had trouble tapering off the eye drops?

@dadcue perhaps along the lines of your insight is an insight into predisposition to microscopic colitis - whether collagenous or lymphocetic. Literature of conducted studies describes that those who have microscopic colitis are likely to also have an autoimmune disorder - such as my RA.