Severe brain fog with possible MCTD
I finally found a rheumatologist after 4 years of issues who ask the right questions and took the time to go through my test history. She has somewhat diagnosed me with MCTD but is working with other doctors to confirm. She started me on Hydroxychloroquine to see if it helps. I have a lot of symptoms like my hearing is acting up, Trigeminal neuralgia, joint and muscle pain/stiffness, stomach issues, rashes, etc. The ones that affect my daily life is my brain fog and fatigue. Before this all started I was someone who never sat still. I have been creative my whole life and did arts and crafts, woodworking and somewhat mechanically inclined. I was the person in my family who people would come to for help on figuring out things because I have a very curious mind that never stopped thinking. I am not even close to that person anymore. I have fatigue and brain fog everyday and some days the fog is so bad I feel like I can almost see a veil of it. The closest to an explanation is if you’ve ever seen The Nutty Professor where he starts to lose brain function and goes dumb over time. I am forgetting simple words, sometimes can’t complete sentences. It’s difficult for me to express feelings or explain things. I am making dumb mistakes and can’t figure things out anymore. My art and craft projects have completely stopped and it’s like that part of my brain no longer exist. I work for my spouse now out of my home but it’s becoming more of a struggle by the week. I take Adderall and it’s the only thing that gets me functional for a limited time but it’s getting to where it’s not helping much. I could sit and stare for hours. If I had to apply for a job, I would be in trouble. I had a brain scan about 6 months ago when it first started but it was normal. Are there any test that can show this type of issue? I am feeling really hopeless.
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Super interesting that type A personality comment. I wonder …… thanks so much for your comments!
Hi everyone. I have MCTD, diagnosed with RA in 2003 and MCTD in 2005, and I’m 41 years old now. After reading through your posts, I feel a sense of relief knowing I’m not alone in navigating the challenges of this condition.
One of the struggles I’ve been dealing with for years is brain fog. I’ve brought it up to my rheumatologists multiple times before, but none of them ever linked it to my condition. And honestly, none of them even paid much attention to it. It’s been difficult to explain. I often lose focus during conversations, forget everyday tasks, and sometimes I even forget the names of things I use regularly. For example, forgetting my PINs has become a frequent issue. I’ve had to go to the bank multiple times for PIN resets because I simply can’t remember them, even though I’ve just used them minutes before. This has been both frustrating and exhausting.
Another challenge is low comprehension, especially when trying to follow complex conversations or instructions. Sometimes, I feel like I’m hearing the words but can’t fully grasp their meaning, leaving me feeling lost and disconnected. I also get lost in conversations, like in the middle of talking to someone, I just zap out and then come back, completely lost on where we left off or what was being said. It's as though I’ve missed chunks of the conversation entirely.
More recently, I had two falls within just four days of each other, both of which resulted in injuries and required anti-tetanus shots. Around the same time, I also experienced another instance of forgetfulness when I couldn’t recall my phone PIN, despite using it only moments earlier. A few days later, I forgot my ATM PIN too, even though I’d used it just days before. It feels like these lapses are happening more frequently, and it’s scary.
Driving has become another concern. Sometimes, it feels like I’m driving on autopilot, only fully becoming aware when something urgent happens — like a horn honking or a pedestrian crossing. It’s unsettling, and it’s making me nervous about driving.
Finally, I shared all of these concerns with my current rheumatologist, and for the first time, a doctor considered that there could be a neurological issue. He referred me to a neurologist, which was honestly an emotional moment for me — realizing that my struggles weren’t just in my head. It’s validating to know I’m not imagining these issues.
I’ve also noticed that I often struggle to find the right words in conversations. It’s left me feeling isolated, and sometimes I feel like no one around me truly understands what I’m going through.
I have an appointment with the neurologist this week, and I’m really hopeful that I’ll finally get the support and answers I need.
Thank you so much for reading and for creating a space where people genuinely try to understand.
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7 ReactionsHello, I don’t know what all of your diagnosis letters stand for but I can understand the forgetting things . I’m 81 and I forget lots of things, it helps me to write down my PIN numbers/ passwords /,etc. & store them in my phone under Notes on my phone. Hope that helps. Right direction to go to a Nero doctor. I just had a Dat Scan on my brain to see if I had a decrease in dopamine & it was fine. Good Luck keep us posted
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3 ReactionsMy spouse has a neurological disorder (Parkinson's) and many of the things you describe are related to this disease. I am not suggesting that is what you have in any way, I am mentioning it to say that your symptoms do sound like they could be neurological in origin. Sometimes something simple like a B12 deficiency can cause brain fog as well. Were the falls caused by a problem with balance, or more from tripping caused by foot dropping?
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1 ReactionI was diagnosed with mctd Sept of 2024 and they prescribed hydroxychloroquine which really didn’t help. I went to get a second opinion in May this year and that rheumatologist retested labs and she didn’t think I had mctd and I haven’t been able to get in to see and talk to her again about this and why I would have it and then 8 months later not have it as my brain fog : fatigue remain. Any suggestions? Try another rheumatologist??
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1 ReactionI’ve had extensive workup done and mostly all normal except I was diagnosed with mctd sept 2024… my neurologist thinks it’s long covid also Saw another rheumatologist in May who didn’t think I had mctd … at a loss Still have brain fog and fatigue almost daily. Started welbutrin again which helps somewhat with energy but not all the time
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1 ReactionI had moments like you’re describing after I had the Covid virus. I now have Long Covid and that part of it has gotten considerably better, but I still suffer from loss of taste and smell and if I overextend myself, body tremors. It’s good that you have an appointment with a neurologist and hoping whatever he/she finds, it can be repaired. Best of luck!
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1 ReactionThanks for sharing, and I hope your spouse is doing alright. As for me, I honestly don’t know why I fell. The first time, there was no warning. I just suddenly collapsed. During the second fall, my daughter saw me from a distance and told me I didn’t react at all, like I had no reflexes. She even said it looked as if I just accepted that I was going to fall. My rheumatologist suggested I see a neurologist because he suspects it might be an absence seizure. It’s the first time I’ve heard of that, so I’m feeling anxious but also hoping to learn more about it tomorrow when I meet with the neuro.
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2 ReactionsI was in a similar position when my illness first began. From my experience, it can be helpful to seek additional opinions. Over time, I have consulted with several rheumatologists, each with their own approach and combinations of medications. Eventually, we discovered a treatment plan that worked best for my body. I’ve also learned that rheumatologists differ in style—some take a more conservative approach to prescribing medication, while others are more aggressive. Ultimately, it’s important to find both the treatment and the management style that you feel most comfortable with.
I wish you the best in finding the right doctor who can accurately diagnose your condition and guide you toward the treatment that works best for you.
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2 ReactionsThanks so much for sharing. I’m sorry you’re still dealing with Long Covid, that sounds tough. I’m glad to hear some of your symptoms have gotten better and I really hope the rest keep improving too. I appreciate the encouragement about my neuro appointment and I’m hoping for some answers. Wishing you continued healing and strength as you manage your own health journey.
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