Undiagnosed Autoimmune Disease - No one will listen to me

Posted by katies0lvi3 @katies0lvi3, Jun 11, 2022

Hello All - so would love some advice or thoughts.
I'm 43, wife and mother of 3. In May 2017, healthy but slightly overweight, I went to visit family in Texas and had strep throat (which I had about 4 previous times in the previous 2 years). Took antibiotics full round, returned home. Two days after finishing antibiotics, I woke up and could barely even move (couldn't even pull my covers over me, barely walk, severe joint pain muscle pain, you name it. Went to Doc and they sent me to rheumatologist.
They ran so many test with really no avail. The only thing that came up positive was HLA-B27. At the time ANA was negative.
Over the last six years it has been just so much joint pain, muscle pain, muscle weakness. They tried plaquinel first, nothing. Then started my process of biologics. I moved rheumatologist a couple of years into it and she ran more test, but still not much answers. I was put in the spondyloarthropathy category, but really unspecified. My new rhematologist over the last few years has been thorough but has really put me in the complex sector of things. Here's current breakdown:
> have Chronic Kidney Disease, unspecified found in 2008 with proteinuria only; two kidney biopsies only showed some scarring but nothing else
> Clinically: Knees, Elbows, Ankles feet inflammed, swollen, heat; muscle weakness in arms, some tingling in arm and thigh; right SI joint pain (chiropractor manages well); weight gain from predisone and lack of mobility); ringing ears, tops of hands swell for several days at a time; ankles swollen throughout day; itching skin, some low grade fevers at time; High blood pressure; fatigue, cant focus; memory bad
> CRP and ESR both elevated in the 80's - 100's most of the time, can dip down to 50's, 30's if biologic works
> New last month ANA: Positive, 1:2560, Homogenous
> ANA Antibidies: dsDNA was 1, all other antibodies were <0.2 (ALL within normal range) :/
> Vit D: deficient (lowest 11, highest 32) last 5-6 years, currently on 100,000 dose
> Vit B: also low, currently taking injections every other week
> Homocysteine: elevated
> CBC: all normal except elevated WBC (prednisone) and HBG slight low; RDW slight elevated
> CMP: all normal except for creatinine (High) and GFR (Low) from CKD
> All GI scans normal (with only a little GI involvment)
> On my six biologic with doc submitting under Ankylosing Spondylitis
> All Thyroid testing normal except Reverse T3 Elevated
> No RA positive labs
> Started seeing Functional Medicine Practitioner and did mold testing, negative; she is going to help me get rid of inflammatory foods to hopefully help some

Really just frustrated at lack of answers! I know my Rheumatologist is doing her best…I’m just complex. My insurance just denied my next infusion because of dx of 'undifferentiated spondyloarthropathy' being experimental. Doc is considering change of dx to seronegative RA so we have option of a IL-17 drug instead of TNF Blockers. So trying to consider that option.

Any thoughts would be greatly appreciated.
Thanks!

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

Profile picture for bostonian71 @bostonian71

Im very worried. My daughter is allergic to all food . She has been on pills for histamine and strong allergy pills . Last year she could at least eat certain things but now all she has been surviving with kate farm milk and a specific gluten free soup. They did a biopsy on her stomach and it did show a large amount of MAST CELLS. Every time she gets blood test done they come out fine. IS ANYBODY ELSE GOING THROU THIS. GOD IS GOOD SHE IS STILL HOLDING ON. Please help

Jump to this post

@bostonian71 try going to Keto diet it may help

REPLY

Have you done any type of food logs and marking down any type of symptoms or change in symptoms with the different foods you eat? I use a medical journal; clever fox has some great ones you might want to check out.

Have you been tested thoroughly for food allergies/intolerances, Celiac/sensitivities? The Functional Medicine Dr. should have done this. If they haven't, I would request that be done. I'm not Celiac, however I have an intolerance to wheat, gluten, dairy and egg. I avoid all of these, it is difficult, but I do it and I feel so much better. I still struggle even with gluten free foods. I had no clue food was causing my tummy problems, acid reflux, diarrhea, throwing up, etc... When I got tested at an alternative Internal Medicine Dr. for food allergies, he caught it and told me to change the way I eat. There are the allergy Dr. traditional prick type tests and then there is the blood type testing. You actually need both as they both results in different results. I am rare, I have CVID- Common Variable Immune Deficiency, so I get lots of sinus, ear and upper respiratory infections. I do infusions also weekly for my immune deficiency. It cuts back on the number of infections I get each year. I'm sorry you are going thru all of this, I understand the ongoing part of it, however in a different way for me. I know auto-immune and immune deficiencies are connected; however, Dr's just aren't sure exactly how. Do you use filtered water to drink? I have a reverse osmosis system that I use. Cut back on chemicals for cleaning and products you use for your home/yard, etc... I use an air purifier in our home; it is a medical grade hospital kind one and it helps me. I wear a mask outside and when I am around a lot of people in public to protect myself. Hope you get some answers soon! I know the Functional Medicine Dr's do vary, so you could always go to a different one and get a different viewpoint, with different testing.

REPLY

Hello, Gm. I’m sorry to hear that you are going thru it!

Please ask your doctor about
https://connect.mayoclinic.org/group/polymyalgia-rheumatica-pmr/
I hope this may be of some help to you!

REPLY
In reply to @dainamerritt "Maybe it’s Mctd?" + (show)
Profile picture for dainamerritt @dainamerritt

Maybe it’s Mctd?

Jump to this post

@dainamerritt

MCTD = Mixed connective tissue disease
"Mixed connective tissue disease, also called MCTD, has symptoms of more than one rheumatic condition. These conditions include lupus, scleroderma and myositis. Many people who have mixed connective tissue disease also have inflammatory arthritis and Sjogren syndrome. Mixed connective tissue disease is not common." https://www.mayoclinic.org/diseases-conditions/mixed-connective-tissue-disease/symptoms-causes/syc-20375147

"Fibromyalgia is a long-term condition that involves widespread body pain. The pain happens along with fatigue. It also can involve issues with sleep, memory and mood. Researchers think that fibromyalgia affects the way the brain and spinal cord process painful and nonpainful signals. That increases your overall sensitivity to pain."
https://www.mayoclinic.org/diseases-conditions/fibromyalgia/symptoms-causes/syc-20354780

REPLY

It is real. One thing I would check, however, is to reduce as much pesticides, preservatives, or anything mildly toxic in your food, for instance, eating organic and unprocessed. In most people that might not make a difference, but for you, it might.
I have an unidentified autoimmune disease, known as Central Sensitization Syndrome as part of a catch-all, but we found that limiting toxins in foods, and also perfumes, diesel, harsh cleaners, and especially stuff like wormers (skin contact causes a reaction), sprays (hair or air freshener) allowed us to manage it.
I guess it reduces the strain on the body, and especially as you have chronic kidney disease, I suspect it may help, even if only a little.

REPLY
Profile picture for marilynredder2367 @marilynredder2367

OMG don’t know what to say. I’ve got lot of similar stuff going on also no answers. But I’m 80 and have stopped caring for the most part. Go to Mayo only in Minnesota.

Jump to this post

@marilynredder2367 who did you see at the Mayo Clinic in Minnesota? Rochester?

REPLY
Profile picture for bostonian71 @bostonian71

Im very worried. My daughter is allergic to all food . She has been on pills for histamine and strong allergy pills . Last year she could at least eat certain things but now all she has been surviving with kate farm milk and a specific gluten free soup. They did a biopsy on her stomach and it did show a large amount of MAST CELLS. Every time she gets blood test done they come out fine. IS ANYBODY ELSE GOING THROU THIS. GOD IS GOOD SHE IS STILL HOLDING ON. Please help

Jump to this post

@bostonian71
I have also had severe allergies for 50 years. I was allergic to my own skin at age 10, Pemphigus foleousis , severe environmental allergies and the last 10 years have been dealing with food, allergies, 55 high IgE levels. I have been to multiple allergist immunologist with no help. I finally found a Dr in St Louis that diagnosed me with oral allergy syndrome and mast cell activation syndrome in July 2025. I started Xolair injections 525 mg every two weeks and it has helped. No anaphylactic reactions since I started Xolair. I still take 7 to 10 allergy medicines a day. But I am able to re-introduce some foods and not have reactions. Objectively.

REPLY
Profile picture for fessenbeck65 @fessenbeck65

@bostonian71
I have also had severe allergies for 50 years. I was allergic to my own skin at age 10, Pemphigus foleousis , severe environmental allergies and the last 10 years have been dealing with food, allergies, 55 high IgE levels. I have been to multiple allergist immunologist with no help. I finally found a Dr in St Louis that diagnosed me with oral allergy syndrome and mast cell activation syndrome in July 2025. I started Xolair injections 525 mg every two weeks and it has helped. No anaphylactic reactions since I started Xolair. I still take 7 to 10 allergy medicines a day. But I am able to re-introduce some foods and not have reactions. Objectively.

Jump to this post

@fessenbeck65 who did you see in St. Louis.? I live there and trying to find some Doctor who has a clue about treating theses different disease states.

REPLY

I have the same symptoms as described in the original post as Undiagnosed Autoimmune Disease.
My diagnosis is systemic sclerosis or scleroderma, confirmed by SCL-70 blood test. It started 3.5 years ago with just a little bit of skin involvement over the fingers and then progressed rapidly to all skin, joints, and GI. Most difficult symptoms are fatigue, and joint stiffness, swelling, and limited mobility. Joint involvement in scleroderma is similar to inflammatory arthritis or seronegative RA.
Did anyone have good response to IL-17 Inhibitors?

REPLY
Profile picture for kjoeme1978 @kjoeme1978

@fessenbeck65 who did you see in St. Louis.? I live there and trying to find some Doctor who has a clue about treating theses different disease states.

Jump to this post

@kjoeme1978 I see Dr Jennifer Monroy @
Washington University./Barnes Jewish hospital. She is awesome! She reviewed my previous medical records from the multiple different allergist, immunologist I had seen and hospitalizations prior to my visit and apologize that nobody had been able to help me the past 8 yrs. She answered my questions and concerns.

REPLY
Please sign in or register to post a reply.