Giant cell arteritis:I’m afraid and would appreciate any advice
In April of 2015 I was diagnosed with polymyalgia and giant cell arteritis and was put on 60m of prednisone daily.<br />After a month my rheumatologist began a slow taper of the prednisone and added methotrexate to help with the withdrawal but had to discontinue the methotrexate because of side effects. In April of 2016 I was put on monthly infusions of Actemera and tapered to 1m of prednisone daily and was doing well.
However, in Nov I developed stiffness in my neck and shoulders. Prednisone was increased to10m daily. In Jan prednisone was lowered to 9m but has not been lowered since even though doctor says my labs all look perfect.
At this point I'm losing faith in my doctor and not sure how to proceed with treatment. Because I have no family or support system in this country I have no one to discuss this with so I'm hoping someone out there can give me some insight.
I've recently been diagnosed with Sjorgens syndrome and was told treatment was the same as PR and GCA. so nothing further need be done. I'm now dealing with facial pain, fatigue, chronic constipation, swelling in my legs and hands and insomnia.
My recent lab tests show high bilirubin scores, high total neutrophils, plus low eosinophils absolute, low monocytes, and low monocytes absolute. I don't know what all that means but when I question my rheumatologist about it she does nothing to alleviate my fears and just says "your labs all look perfect" and maybe you should see a therapist.
I'm very afraid of what is happening to me and would really appreciate advice from anyone out there with knowledge and information about my health problems.
Thank you
Anya
Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.
One thing is certain about medical care now. That is, you are your own best care provider. Seems to work best to use the doctors and nurses and techs and labs as supportive resource personnel, which is the general theme of today's med care.The docs do the best they can to protect the disease from the cure, but sometimes they don't quite succeed.
see my: http://frontal-lobe.info/gca/gca.html
Giant Cell Arteritis; One Man's Exciting Experience
GCA - also known as Temporal Arteritis
also in more detail here:
https://www.amazon.com/Giant-Cell-Arteritis-Mans-Exciting-Experience/dp/0931400058/ref=asap_bc?ie=UTF8
Hey Tinkerbell, I was diagnosed with Giant Cell Arteritis (temporal) July 2017 and only last week started seeing a Rheumatologist because my regular doctor seemed to lose interest in my case. I am down to 10 mg Prednisone now from 40 started in July. My new doctor prescribed Methotrexate, in addition to Prednisone,which I am waiting for my insurance to approve.
May I ask, how old is your mother and did she have Diabetes or any other health conditions?
Hi: I would find another Doctor
I only have the GCA so cannot be of much help. Mayo is wonderful and we make the trip up as often as I need to be seen. It is a 21/2 hour drive.
Thank you.
I don’t know Country you are from but I would find another Doctor that can help you. I would try to taper off on the steroids very slowly because that can cause osteoporosis and other problems. Please find another Doctor that actually specializes in your conditions, not all Rheumatologist is equal.
Hi @geniecm, There is an existing discussion on Giant Cell Arteritis where your post will receive more visibility. I'm tagging our moderator @ethanmcconkey to see if we can move your post to the existing discussion here:
> Groups > Polymyalgia Rheumatica (PMR) > Giant cell arteritis
-- https://connect.mayoclinic.org/discussion/giant-cell-arteritis-20c716/
I've had 2 occurrences of PMR and was started on 20mg prednisone for both occurrences. The first time it took me 3 years to taper off. The second time it took me 1-1/2 years. My rheumatologist gave me a suggested tapering schedule but I found out it was difficult to stick to it. I went back and forth many times until I was able to taper off. When things were difficult I would cut 1mg tablets in half and decrease or increase dosage by 1/2mg,.
Has your doctor suggested any tapering schedule?
This is Tinkerbell. I had Giant Cell Arteritis and was diagnosed in the Emergency Room at Mayo Clinic in Jacksonville, Florida. I was started on 60 mg. Of prednisone the day I was seen in the Emergency Room. I came down 10 mg. Every 2 weeks. When I got to 20 mg. The problems began. I went down to 17 1/2 mg. And had problems right at the beginning. I had to go back to 20 and then start down at 1 mg. Every 2 weeks. I was on the prednisone for 1 1/2 years. If you have any questions I will try to answer them.