MCTD (Mixed Connective Tissue Disease)

Posted by EllashaB @ellashab, Oct 3, 2011

Ok, here goes my story....4 Weeks ago I was diagnosed with Mixed Connective Tissue disease...I am normally a busy busy person, I work full time as a police officer, volunteer at my church, work a lot of off duty, and I have Three Boxer Dogs that I show, and I'm married...so I have a lot going on and this has pretty much put a stop on everything...I'm on 30mg of Prednisone, Plaquenil, Imuran, and Amitriptiline (for depression, anxiety), and Nexium twice a day...Some days I'm fine and other days I can't get out of bed either because I'm so tired or I'm having a flare. I would just like to talk to other people who have this disease and who can relate to me. I feel like I'm losing my mind and body for that matter.....Is it always going to be like this? How do I slow myself down? The concept just seems so alien to me....HELP

Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.

@kellyclayborn

Hi,
New to this site, but my Mom has been encouraging me to contact the Mayo Clinic to help me regain my quality of life. In 2008 I was diagnosed with cervical stenosis. I was told it was severe and needed surgery ASAP. I was working for a great hospital at the time, was recommended the best neurological practice at the hospital. The neurosurgeon decompressed and fused my spine from C3 to C7 posteriorly. When the surgery was complete and they were turning me over, something went a rye. All the bells & whistles went off that were monitoring my nerves & spine. They immediately took me in to have an MRI and found nothing to be wrong. When I woke from surgery, my surgeon, his assistant and my husband were all there and the neurosurgeon asked me to move my fingers, hands and arms. The only thing I could move was my fingers a tiny bit. The neurosurgeon had an "oh shit" look on his face. He then went on to explained what had happened after surgery. My life has never been the same since. I had to relearn how to use my arms & hands which took almost a year. It has left me with chronic pain in both my arms & hands. While going through OT/PT it left me with tears in both rotator cuffs which eventually healed. So during this year while dealing with these issues, I was trying to get my pain managed and under control. Was referred to pain management facility cuz they had to give me very strong opioids and it was tricky to find the right combination. While I jumped from one opioid to another,my pain was getting worse and more difficult to manage. During this first year of while trying OT/PT i began swelling up and was showing signs of possibly RA, so thus was sent to RA specialist. After working with him for the last two years and being now diagnosed with inter-connective tissue disorder. I have been put on several different types of medicine to keep my symptoms at bay but between the chronic pain in my arms from the spinal cord injury and now the inter-connective disorder I AM MISERABLE. I have no energy, everything hurts all the time, including walking. Early on,they had been giving me prednisone to help but I gained almost 75lbs since the surgery in 2008. I don't take that medicine anymore. I have since managed to fall break my foot and had to have surgery (this was from being to drugged in managing my pain). Then when checking my nerves in my arms & hands with an EMG test, it was discovered that my ulna nerve was being crushed in my right arm. I was loosing functionality in my right hand, so they did surgery to correct that. I still have difficulty with my right hand, so maybe it wasn't just an ulna nerve problem? I was told that my right hand difficulties could be coming from my spine, from the original surgery.

So hear I am,trying to explain this very complex situation (but there is so much more as with everyone's situation) but I'm trying to keep this short. That and it hurts to type, or work at a computer for anymore than an hour at a time. I WAS a type "A" person, worked as a police dispatcher, flight for life dispatcher, volunteered for the police department. I have a husband, two grown kids (out on their own), 4 Grandkids any my elderly Mom who all counted on me to be there to take care of things. I now live with chronic pain on a daily basis due to the spinal cord injury, inter-connective tissue disorder, recovering right now from my arm and foot surgery, I also attended a rehab center to change my chronic pain drug which were opioids to a synthetic opioid which was to help with withdrawals since I was on so many pain drugs and it was to help manage my pain but it's not helping as I would have liked it to. I still take an opioid and anti-anxiety drug, nerve pain drug, antidepressants, muscle relaxors and a handful of drugs from the RA doctor. He is now suggesting that I get monthly drug transfusions to manage my ICTD cuz now it's spreading to my hips which is making it very difficult to walk. This is really scaring me.

So you ask why I would post on this site, like I said encouragement from my Mom, family and friends to see if we can get part of the old Kelly back. I'm willing to keep trying to get better but it's very hard day after day living with the pain and all the drugs but especially when you feel like your not getting better only worse. I really want a doctor or facility to look at my whole picture and see what could be done to regain some of my strength, energy, maybe even become pain free.

One of the questions that I keep asking all the doctors is the spinal cord injury after the surgery and the ICTD possibly related? Most doctors have said no,but I did find a doctor that said hmmmm maybe. He went on to explain that maybe I was allergic to the metal that fused my spine together. So I got on the Internet and did some research and found that sometimes the metal, like titanium (mine was titanium) has a small percentage of nickel in it. It's like when you wear cheap earrings or cheap jewelry your skin or body can react to it. I was asked if I had any metal allergies. I didn't think so, but I know when I put earrings in that have nickel in them my ears puff up, turn red and get infected. It got me to thinking that could it be that I'm allergic to the metal in my neck. I was never tested for metal allergies, so I had a skin test for different kinds of metals. Those tests came back pretty much clear, but in my Internet research I found out that you need to have a specific blood allergy test called MELISA test. There is a website called http://www.melisa.org that has lots of info regarding this test. My problem has been finding the right doctor to get this test performed for me and wanting to get a lot of my questions answered, like......i.e. If I am allergic to the metal, can I take it out? Will my spine stay stable? Is it causing the symptoms of the ICTD? If I am allergic, has the metal already poisoned my body or could my body heal itself if it's taken out? My ICTD didn't start until after my surgery, so I somehow feel it's related. I feel that I can deal with the spinal cord injury issues. I've gotten back some of my use in my arms & hands but there are still some issues that I have to work with. The constant pain in my whole body now especially my joints, the fatigue and all the drugs. I just would like someone or someplace to help me sort all of this out, do the MELISA test for my own piece of mind and help me get healthy and feeling better again. I'm on disability now, it's hard to function somedays just even staying home trying to take care of myself. My family worries about me being home alone, since I've fallen several times already. I WANT MY LIFE BACK,or some sense I'm in control.

If anyone reads this and can help, or give me their input, I would really appreciate it. If there is a doctor that works at the Mayo Clinic that stumbles upon this and feels moved to help, I would be very grateful. I have family and friends that count on me, especially Grandkids I would like to see grow up.

Thank you for taking the time to read and listen. Look forward to hearing from you.

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Hi, I also have been diagnosed with ICTD/MCTD and like you, I have a rod in my spine. Metals can cause autoimmunity, I've seen the studies. My rod was put in when I was a child, my body tolerated it for some years but over time, the rod can deteriorate. I'm not sure what to do because I did go to Mayo Clinic, they did not recommend taking out the rod. I'm so tired of the pain and fatigue and I still have young children. Please let me know the outcome of your tests. I'm curious.
Thank for sharing your experience. I'm so sorry for your pain and suffering. Please let me know how you get on.

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@artoffersspace

Hi, I also have been diagnosed with ICTD/MCTD and like you, I have a rod in my spine. Metals can cause autoimmunity, I've seen the studies. My rod was put in when I was a child, my body tolerated it for some years but over time, the rod can deteriorate. I'm not sure what to do because I did go to Mayo Clinic, they did not recommend taking out the rod. I'm so tired of the pain and fatigue and I still have young children. Please let me know the outcome of your tests. I'm curious.
Thank for sharing your experience. I'm so sorry for your pain and suffering. Please let me know how you get on.

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Welcome to Mayo Clinic Connect @artoffersspace ! Have you had MCTD for a while? Have you asked your doctor about any medicine that would lessen the fatigue? I was prescribed one when I was first diagnosed with a different AD, but I just couldn't take one more pill!
I like your pseudonym—are you an artist?
When will you see your doctor next? Would it be a problem to talk with them about your fatigue and medications? How do you think they would respond?

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@becsbuddy

Welcome to Mayo Clinic Connect @artoffersspace ! Have you had MCTD for a while? Have you asked your doctor about any medicine that would lessen the fatigue? I was prescribed one when I was first diagnosed with a different AD, but I just couldn't take one more pill!
I like your pseudonym—are you an artist?
When will you see your doctor next? Would it be a problem to talk with them about your fatigue and medications? How do you think they would respond?

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Thank you for checking in. I am on medications. They do help a great deal but I also have some really bad nights and days. This is a painful disease. In my case it, so far, my immune system really goes after my spinal cord, muscles and nerves. It's really changed my life.

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Hi, just read your post and getting into a permanent remission is a challenge. I was diagnosed with RA at 40 and MCTD at 44 now I'm 63. Thought I could sort it out at 40 with diet and supplements alone but it didn't work. 8 months later my inflammation rates had climbed 300%. Started Plaquenil, and rested more and the RA was manageable. Still had flares though, and the severe left chest pain got me in for a lung CT which showed ILD. F/u blood tests confirmed MCTD, Lupus and began Imuran. It's been manageable as long as I rest alot more, fatigue and flares always dog me. Took early retirement and it took 18 months to increase my baseline energy level I was so depleted. A few years ago my rheumatologist suggested that anecdotally glutathione may help with the fatigue, I started it daily and it really did help, it's worth a try. Also taking NAC suggested by my pulmonologist. Other supplements are a multivitamin, fish oil, calcium, vitamin D, E, and B multi, ashwaganda , milk thistle and magnesium. I also have severe scoliosis and -4 bone density for which I have an annual aledronic acid infusion, yea, no flare last time. And they're monitoring my Fibromuscular Dysplasia of my carotid and vertebral arteries- dad and sister both died of aneurysms at 70. My diseases are under control for the most part. I have flares when I overdue even a little which are so all system encompassing its shocking. I've read every scholarly article on MCTD I can find but they still haven't found the magic bullet for autoimmune illnesses, although through these long covid cases more research is going that direction.
What works for me is, just enough meds to manage the diseases and their progression. I do use prednisone during nasty flares to shut them down and keep me out of hospital - 15 mg daily for awhile then taper down. My Imuran and Plaquenil daily now 81mg aspirin for FMD. I'm never depressed, it's pointless, I'm still better off than so many others around the world and work out as much as I can and spend time doing what brings me joy, gardening.
Follow your wisdom and find good supportive specialists, pare down it's ok, take care of yourself, find your bliss and you can do this.
M

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mine was diagnosed 10 yrs ago by navy doc along wirh ostiopenie. No one started me on anything or sent my to a rhemo, fast forward two yrs ago i was also dignosed with ra and oa. that has destroyed my hands( typing helped). they had me on hydro, pred, anf now metho. Agianst my better judgement. i also take 4000ml of d3, my doc had a fith hoe ever i stood my ground blood test mt level. at 4000 ml for 3 months i was finally normal range. My advice have a food allergy test run ( no night shade veggies for me). find a doc /RA you trust!! im changing mine after seriouse side effects from hydro..( she told me they wernt). BS... food allergys, viteam shortages, first it stinks! its horrible BUT i believe there is a light at end on tunnel. see doc who worke with what you feel... no doc knows all qnd not all meds are good or helpful.. for us listen to your body

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@snowaries

Your case is interesting. I started having severe dizzy spells, heat flashes mixed with chills, skin break outs, extreme fatique. At first, I thought I was going through early menopause based on the symptoms. When I don't feel well, I am out for the count, literally no energy.

I have several drs running several tests which all come back as normal. Then one test showed positive for Shogrens (not sure of the spelling). Saw a rheumatologist and he said I scored positive but too low for shogrens. He did a saliva test and blood work again and it came back as normal this time. I can also take allegra which relieves the symptoms so according to the rheumatologist, no shogrens.

My allergy dr thinks I may have hives. I took 2 more tubes of blood and now he thinks it may be Mixed connective tissue syndrome. I am fatigue, dizzy, etc but the other symptoms I really don't have.

I was sent to an ENF which after several balancing tests and a brain scan said I have a 23% loss in my inner ear on the left side thus the source of my dizziness and balance issues. This makes sense since after I work out, I am too dizzy to move. Heck, I can be sitting and get dizzy. They have me on clonazepam to take a night and seems to be working. But, if I wake up dizzy, I have nothing to help me during the day.

This all started with severe skin break outs everytime I ate. I can take one bite of food or a sip of a beverage and my head is spinning, my skin breaks out in rash looking lines and/or spots. The only things I am safe from is water, unsweet tea, and diet soda. I tested negative for food allergies, pollen, nature, and actually only allergic to dust (after being poked several times).

I've had a nasal MRI, breathing tests, and another round of 10 tubes of blood for various tests only to be informed this past Wed that everything was normal.

I am quite frustrated as to what is going on with me. I too am very active, travel for my company weekly, in school full time, and stay busy busy. I am wondering how your MCTD was diagnosed and if your symptoms progressed over time. Do you think it came about with diet or certain foods?

I am also curious as to which foods help / hinder these symptoms. I heard various kinds of berries help as well as rice, fish, cinnamon, flex seed.. does all this really work?

Anything you can offer would be greatly helpful and appreciated as I am frustrated yet anxious to find out what is going on with me.

Thanks.

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I have mctd . It began with sjogrens symptoms (very dry mouth and eyes, and a rash on my back). I also had the easily injured skin you describe. Now I also have constipation. Sometimes I wonder why doctors put people through all these tests. Plaquinil delt with the dryness, but does little for the fatigue and lightheadedness. I went to a top rheumatologist. He didn't need all these tests. He did blood work: no sjogrens antibodies despite the symptoms, yet very high rheumatoid antibodies : thus the diagnosis of MIXED Connective tissue Disease, and being put on plaquinil. He didn't need 10 tests that fit an out of the book profile. MCTD is an OVERLAP disease...thus MIXED symptoms. Some people will show some lupus, scleroderma, or other autoimmune rheumatic symptoms. The fatigue takes a lot of of me so I only do what I can and an motivated to do. Even hobbies, walking, playing guitar, and concentrating can exhaust me, so I don't overdo. Yet, I am grateful to not have autoimmune like some people I know, who have much worse symptoms. I've only had 2-3 brief flares, so I have cause to be grateful. There's cause for hope: about a third of patients stay stable and one third have remission. After 10 years post diagnosis, 80% are alive and hanging in there. So don't give up, and make sure you have a top rheumatologist.

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