Undiagnosed Autoimmune Disease - No one will listen to me
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!
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Weird that we both gave birth in 83,you in April, me in May and that we both got bad right shoulder pain .Mine came on about 5 hrs post pushing and I too still have problems. 2 scoping surgies later it was noticed that I had an 'old' slight Rotator Cuff tear that had probably caused all my yrs off pain.The surgeon said having it fixed would probably cause more trouble than I have with it now.I am CONVINCED this is what started my almost 40 yrs pain journey. When I heard a friend of mine the other week say "O'h no I don't go for a massage because of pain I just like it,I don't have any pain" I have never had any jealousy but of anything usually but now I realise I am jealous of people without pain. Pain has robbed me of everything I have wanted to to do with my family.
Pain controls my life thanks to EDS and doctors knowing nothing and no time or interest to study it. Computers should do better too. I have searched many hours and am amazed that there is so much misinformation and that EDS especially hEDS IS USED FOR A CATCH-all of “I have no idea”.
Hi,
Has anyone mentioned psoriatic arthritis as a possible diagnosis for you? Your symptoms are similar to mine. At age 68 when a bug bite turned into psoriasis, I recognized it since my dad had it and my brother and son have it. My son also has PsA, affecting his feet, back and sternum. It’s not too uncommon for PsA to be present without the appearance of psoriasis, and looking back, I think I had it before the skin issues appeared.
PsA is unpredictable; it comes and goes, affecting tendons, ligaments and joints in a random manner. And fatigue can be a major issue, too.
Initially, and out of the blue, I had experienced ankle pain which moved down into the sole of my foot and I couldn’t walk on it. Would you believe, a nurse practitioner diagnosed “circulation problems” by looking at my normally thick ankles. No ex-rays taken, just prescribed lasix, and told to wear sturdy shoes. My other son who’s an RN advised me not to take the lasix since I had no pitting edema or other signs of fluid retention. After a couple of weeks the pain was gone, which is typical of PsA flares. When I later experienced different foot pain (after developing the pso)and saw a podiatrist, he diagnosed Morton’s neuroma and PsA, and shortly thereafter I developed dactylitis (sausage toes—one on each foot), another symptom of PsA.
But it was after 3 bouts of debilitating hip pain that I went to my son’s rheumatologist who also diagnosed PsA and ankylosing spondylitis, which affects my SI joints. A lot of my pain has come from enthesitis which is inflammation of the tendons and ligaments. Swelling of the joints, not so much. I’m on a biologic which has given me clear skin and saved me from flares. I still deal with morning stiffness, fatigue and lack of stamina. My son does well on methotrexate.
Unlike OA which is helped by rest, PsA gets better with activity. I’ve found this to be true; after sitting or reclining for any length of time, standing and taking the first steps are difficult, but if I keep moving it gets better. The only problem is I tire so easily. Walking any distance feels like I’m wading through water with lead weights around my hips; it’s exhausting. How I miss the days when I could walk for miles effortlessly!
Wishing you success in soon finding answers!
Did u get tested for Lyme disease? Or gout?
If left untreated- Lyme can turn into immobility for some.....and painful arthritis.Also did you get tested for Lupus.Both Lyme or Lupus comes with a rash usually!
No doctor has delved into the pain nor the arthritis. Vicodin, HTZT, Lozarten, are it. Once they hear EDS and see my age, that’s it. I keep looking but ….
Hi!
The article at link below titled, “Could you be Misdiagnosed with RA? 9 Conditions That Mimic Rheumatoid Arthritis” reviews
- rheumatoid arthritis
- Osteoarthritis
- Gout
- Psoriatic Arthritis
- Parvovirus
- Chikungunya
- Lyme Disease
- Reactive Arthritis
- Fibromyalgia
- Lupus
The article compares similarities and different between the above conditions and RA w/ the goal of helping someone get the right diagnosis and treatment needed.
Hoping this information is of help to you!
https://www.healthcentral.com/slideshow/conditions-that-mimic-rheumatoid-arthritis
Hello @bee22, Welcome to Connect. Thanks for sharing. It sounds like you might have some experience with Lyme disease. Are you being treated for Lyme disease?
@raepent1, thanks for coming out of the shadow of reading to make such a great first post. You're so right that one has to advocate for themselves, especially with rare conditions. It is a fine balance between the when to google and when to stop googling. How did you manage that fine line?
It seems you should be evaluated for long Covid. There is evidence that both long Covid and the Covid vaccines can cause immune dysregulation. Can you apply to be evaluated at a long Covid Clinic? Are you following the Long Covid discussion on Mayo Connect? The following study discusses how long Covid can mimic rheumatic disease
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629735/