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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I’ve been dealing with the same exact issues and it’s so frustrating and exhausting. I feel like everyone thinks I’m just lazy or trying to make myself sick or I just want attention because it’s all I ever talk about and I can’t stay off the internet & going down the rabbit hole. My Dr. diagnosed it as Para Rheumatica but I thinks it’s more than that. I have no markers as well but was told by my Dr’s PA that the markers usually don’t show up for several years, as the “disease” progresses. So I guess all we can do is sleep until something shows up in our “markers”. I suffer from depression already but this has really really put me in a bad state of depression. I also have such foggy memory and thinking now. I use to be able to remember anything and everything and now sometimes I can’t even get my grandson’s name to come out because I can’t remember it. Good luck to you.
#inthistogether
Sounds nearly identical to my issues. It started for me when I hit 40. I had been having low back pain for years or early 2003 and had numerous lumbar epidurals. I switched to a standing desk by 2005. I had always been a gym rat/runner. I wake up early. I'm overly ambitious and eager to get to the office. By 42 I had trigger points in my lft hip. I visited a "World Renowned" clinic in 2011 near my home and they gave me some trigger point injections and I was fine for a few weeks before coming back for the same injections. They told me I should try PT and that would get me back on track. Within 3 weeks I was dragging my left leg. I was in so much pain I couldn't sit, walk, eat, sleep or stand without crutches. Doctor set up MRI for low back and reveled a crushed disc on the right side of my spine but all the pain was in my left hip. They essentially told me there was nothing they could do. I literally went across the street to another ORTHO and they scheduled me for the left hip MRI and was finally diagnosed with sacroiliitis of the left SI-Joint. At least I had some type of diagnosis or so I thought but it would only get worse from that point. My rheumatologist also said I had A.S. After multiple trips to the hospital for nerve blocks, ortho doctors and rheumatologist I was still unable to walk and was ready to just cut that left leg off! Ihad gone from a ripped 190lbs to 160 lbs in just a few months. My sed/CPK levels would always be off the chart and so high it was unbelievable. I did find a spine specialist and after what felt like "stakes" being driven into my hip I could walk but I would still need a higher dose of narcotics that I was trying to avoid buy honestly nothing else that any doctor could do. I was so allergic to biologics that I broke out with psoriasis from head to toe and lost every hair on my entire body. Kidney stones are constantly reoccurring and I found out that was hereditary on my mothers side of the family. All my aunts male children would also have kidney stones. I wish I had something optimistic to say but it doesn't get any better. Each day is "what's going to be painful today? Will it be the lowback, knees, heels elbows or even worse my sternum and right cage pain or possibly costochondritis. It's a purely clinical diagnosis. No imaging or test can across diagnose that disease. Lord forbid I sneeze as it feels my ribcage is going to explode at times. The brain fog and memory loss is terrible. I've researched for years and feel like I'm VP of webMD. I was diagnosed with EPI recently so I've got that going for me as well. I've gone through various diets and eliminated nearly everything that is processed. I had researched peptide therapy and I get a little relief from hydration infusions with Glutathione and toradol. I can no longer take NSAIDS by mouth because they kill my left kidney. A retired doctor that I work with told me I had E.O.R- early onset rigamortus. Funny but true and as time passes I realize this is not a sustainable way of trying to live. Yes the pain medication helps but even with that I might be a 6 or 7 on the 1-10,scale with 10 being eaten by a shark. I know I have to live with pain at this point. I go to my PCP doctor that I've seen for 2 decades so he's really my only saving grace at this point. Too all those suffering in pain I suggest you drink lots of water with a little fresh lemon. Avoid sugar, gluten, lactose and try to eat raw and fresh whenever possible. I eat oatmeal and fresh eggs every single day for breakfast. It's not a cure but it does help. I'll be praying that everyone here can find some answers 🙏
My heart goes out to you and hardly know what to say. I did see something in your "list" that did ring a bell of sorts. You report being over-ambitious. This can really trip you up doing PT. You over do it so fast and it stays with you. (Been there, done that.) I hope that you find answers, too. In the meantime, my thoughts are with you.
Just an idea, have your doctor check you for the MTHFR gene. It can be activated by an illness. When you have this anomaly, your body does not properly metabolize B12 and this causes your homocysteine level to rise. Elevated homocysteine levels can cause symptoms such as fatigue or general weakness, dizziness, frequent headaches, heart palpitations, skin or nail color changes, mouth sores, and numbness or tingling in the hands and feet. Some individuals also report more severe neurological symptoms such as brain fog, memory issues, tremors, muscle stiffness or cramping, migraines, and emotional disturbances.
My husband has extreme muscle and joint pain with this diagnosis. When we started him on 0.8 ml of oral methylfolate drops, his pain level went down substantially and his homocysteine levels returned to normal. He will stay on this supplement long term.
Have they looked into it being EBV?
A lot of your symptoms match mine.
@vfl1998 Welcome to Mayo Clinic Connect! I see that members have already tried to give some advice. Are you seeing doctors locally or are you going to a comprehensive medical center? Your best bet is to go to a comprehensive medical center or university hospital. The doctors are usually a step above community doctors and would be well worth your time.
You might also try these Mayo Clinic health systems:
Mayo Clinic Health System: https://www.mayoclinichealthsystem Mayo Clinic Health System is a family of clinics, hospitals and other health care facilities with physical presence in 44 communities in four regions in southern Minnesota, western Wisconsin and northern Iowa. Mayo Clinic Health System provides patients with access to cutting-edge research, technology and resources through collaboration with Mayo Clinic.
– Mayo Clinic Care Network https://www.mayoclinic.org/about-mayo-clinic/care-network/network-members
Please let me know if you find a different doctor!
@stache Welcome to Mayo Clinic Connect! Do you have an undiagnosed autoimmune disease? The members here will certainly help if they can!
I've been to Mayo and they told me to take a lower dose of Biologics. It's not like I haven't been down that road as well. Oddly no Doctors seem to believe what others have diagnosed me with. It's always a "reinvent wheel" process and I can no longer afford to start over yet again. No doctor wants to touch me and I've even visited Vanderbilt in the past with the same sad recommendations. Has anyone tried stem cell therapy? I'm talking plurepotent stem cells straight from a blood cord donor. Mel Gibson had taken his father to some clinic in South America for stem cell treatment at the rip age of 90. Not a huge fan of Mel but his father felt like he had been healed and was running around like he was 35 again. I've tried everything but stem cells and the jury is still out on the long term effects from what I understand. It's at the very least another option. I feel like I'm being eaten alive from the inside out. Today I'm limping and can barely bare weight on that left hip/Si-Joint. Seems to inflam the entire left side of body and kidney. My original rheumatologist, had always told me I would eventually have sacroiliitis in my right si.Joint and I would end up with stomach problems. He's been spot on since seeing him in 2013. I forgot about being diagnosed with C.M.T as well many years ago. I have nerve damage in my left knee and when it flares in conjunction with everything else it's like torture. I do an Epsom salt bath 2 times a week and push myself each day. I'm not someone that can sit still very long and it can be exhausting some days. Prayers to all those in pain and just trying to make it through another day
Oddly can't recall the last time I had a fever or was actually sick. My overactive immune system has control of this body. Some days I believe its not habitable. I'm ready for a body transplant! On another note when I took the 1st covid vaccine it locked up both of my SI-Joints and was on crutches for 2 days and then I was fine. I did have salmonella from tomatoes at a restaurant in 2010 but it ran it's course in a few days and I was fine. I've been tested for still person disease as well as Raynaulds and a host of other conditions.
I've been a gym rat all my life. I can do yoga and plank and stretching helps at this point but it takes medication for me to do about anything as time progresses. It's like I'm one inflammatory spell from being splayed out on the floor. I do believe stress is a factor. I've had 3 interviews for 1 job and another tomorrow and then an in-person interview Thursday. All the worrying has jacked up everything or so I believe. I did ketamine Therapy for depression a few years ago and that was amazing. It cleared all the cob webs out of my head and I helped with the brain fog. I haven't felt depressed since then. I just have to learn to manage my condition and try to keep the cortisol levels in check but it's not easy. My doctor pretty much just asks me what I need and he sends it to the pharmacy but at times I wonder how in the world this man graduated from medical school!