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unusual RA Options
jenni_b
#1 Posted : Saturday, January 23, 2010 9:16:19 PM Quote
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Hi

I want to do a post about unusual RA.

you know I have been in hospital this wk. the tests are back and having had a big jolt of steroids the inflammation is behaving itself and is ESR 30 and CRP 42.

the anti CCP test they take to determine whether you have RA is so high it is off the scale.

the RF is about 370

all really high and consistently so.

Anyway- looking at my Xrays you would not match up the XRAYS with the blood profile at all.

What my rheumatologist has said is the key to understanding my disease is to understand the word "Systemic".

In me, although the RA is chewing my joints and I have 4 new errosions in my wrists alone and some new ones in my feet in the last 9 mths or so there is no where near the joint damage you would expect for such severe disease over 14 yrs.

What the RA has decided to do instead is to attack the internal tissues and things like my colon, my adrenal glands, my chest wall, gastric bag, ribs, skin, nerves, fluid round my organs etc.

Although there are names like costocondritis for rib pain it is not another disease in reality- it is all RA.

In a way my disease is more Lupoid in presentation in someways but it is definately RA- they have done the ANA testing again (for a laugh!) but it is the RA that is doing this.

So.

As i refused his offer of new biologics etc I have gone for a "safe" drug option of azothyaprin.

I am not overly positive about this as it "only" has liver probs with it and I felt that kidneys and the allergic problems were higher risks for me and the alternatives he offered were all heavy on the kidney, blood pressure and biologic risk. I have had liver prbs when Pregnant and on the higher doses of MTX. Im sorry but I dont feel confident of it working but there is always a little hope!

I am writing this in the hope that someone might know someone with this unusual type of RA and also to inform us all that there are different types of disease in the umbrella of RA. Do you have unusual RA?

Thanks for all your ongoing kind supports

Jenni xx

how to be a velvet bulldoser
Blue Star
#2 Posted : Saturday, January 23, 2010 10:29:17 PM Quote
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Hi Jenni i have tried Azathioprine a couple of years ago but i had to come off it as it didn't not work for me, i too have unusual RA i am told as i also have Lupus the joints that have been affected badly are knees, hands wrists , i am getting pain in my back which i think is my right hip this happens every so often , there are more but not as severely, i also have Ibs , osteopenia due to long term steroid use and have been having extreme pain in my abdomen every month for a couple of years i have seen a gynecologist last March and a bowel specialist too had a ct scan done and they found a cyst in my left ovary he said not to do any thing and see if the pain went away , well it hasn't and i actual fainted last week this time its my right side i have an appointment on February the 11th to see another gynecologist i dont know if it polycystic ovaries or endometriosis but i do no i can not put up with that pain every month and need some thing doing, i just wonder is it all the medication i have been on all these years that have caused all my problems.

Sophie x
ellie99
#3 Posted : Sunday, January 24, 2010 2:03:37 AM Quote
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Dear Jenni,

so glad you at least have a treatment plan and somewhere to go, good luck with the new drug.

As for your request, I think I also have very weird ra and lupus........

Every test I have ie, crp, ana, esr, etc, are all normal, I then had ena and that was very positive.

I have obvious joint erosions in my thumbs, my elbows back bend (weird) and my knees have inflamatory arthritis which has lead to oestoarthritis. My knee cap faces sideways! I can also back bend my knuckles!

Have recently had some chest involement and have been treated with antibiotics for a chest infection which did not show up on an xray. I am truly bizare.

My rhumey did not know what to make of me, or what Ive got, but he believes I have a crossover with ra and lupus.

I am grateful Im being treated with all the correct drugs and no longer thought of as a basket case! He did agree that something is afoot and its definalty not in my head.

Ellie

ps, good to see you back
lyn2
#4 Posted : Sunday, January 24, 2010 1:18:22 PM Quote
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Hi jenni

I'm sorry I can't help with your query, but just wanted to say that I hope your new treatment will work really well for you. It really is time that you had some respite from all your problems

Love Lyn
JulieM
#5 Posted : Sunday, January 24, 2010 2:07:53 PM Quote
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So glad you started this thread Jenni.

The longer I have this RA the more I'm beginng to think I don't have the correct diagnosis OR I have unusual RA!

Every time I'm examined and my bloods are high they gigngerly pick my hands up and say "Right let's have a look at those knuckles" (the ones at the base of my fingers) and every time I tell them I have NEVER at any point had pain or stiffness in those knuckles. I then point out that I have had pain and stiffness in the knuckles at the base of my nails but they are not interested. Next comes the examination of my knees. "Any swelling?" me-"No and never have"! No comment.

I have frequently said that I really don't seem to fit the 'normal' pattern for RA. I have never had redness, never had swellings, what I DO seem to have is constant achey/pain throughout the day but not so much stiffness.
YES I'VE CHANGED, PAIN DOES THAT TO PEOPLE.
BarbieGirl
#6 Posted : Sunday, January 24, 2010 2:42:41 PM Quote
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Hi Jenni, wow!!! you really are going through it!!
I was told my RA was not reacting as normal. Thats when they looked into MCTD. I dont get redness in the joints, but alot of pain and swelling. The rheumy said its not the usual symptoms for RA, but still waiting for more test results.
At the moment nothing is working and having maj0or problems getting seen. Take care Jenni, I hope the new meds work for you, will be thinking of you x
BARBARA
barbara-o
#7 Posted : Sunday, January 24, 2010 3:35:41 PM Quote
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Hi Jenni,

Sorry can't help out here - I still consider myself to be a NEWBee with RA and really don't know what to expect.

Will keep my fingers crossed that your new treatment regime works and that you finally get some respite from this terrible disease.

Love,

Barbara
XXXXXX
amanda_lewin
#8 Posted : Sunday, January 24, 2010 4:03:09 PM Quote
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Hi Jenni,

I would say reading your post that your RA presents itself as almost Lupoid too. It is strange that you have so little erosions but then, as we all know RA is infamous for it's mysterious nature.

I also have strange RA. Having had it from a small girl I have also been told I have much less erosion in my knees that should be expected. That said it attacked my hip so severely that I went from never having a twinge of hip pain to (apparently) substantial erosion there too!

In it;s presentation it is also odd- I have hardly ever had finger and feet pain which is (usually) the starting point for RA. It has only concentrated itself in my knees and elbows, then my hip and at times my ankles!

Due to the auto-immune factor I would say that many people have what they perceive as 'odd RA' as we are all so very different and unique.

Love,
A
Damned76
#9 Posted : Sunday, January 24, 2010 4:38:18 PM Quote
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I think you are quite unique in absolutely everything Jenni Smile . I've never heard of the drug that you have started on but hope it does something!

Julie
Alison-CD
#10 Posted : Sunday, January 24, 2010 6:08:59 PM Quote
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Wow, that makes me feel lucky to have relatively ' normal/ standard' RA! The thought of all that systemic inflammation is quite scary - no wonder you feel so poorly. I find it amazing how the medics keep on finding drugs to fling at this disease - I just wish they weren't so toxic and cause as many problems as they solve.

I agree with Amanda, that the very nature of auto-immune disease tends to make us all so different, with some parameters of common ground. Although new to RA, my endocrinologists for the last 20 years have scratched their heads and described me as one of their 'very complex' cases!

My very best doctors are those who have looked outside the box and treated me creatively and individually. I've learnt from you all that RA is no different and feel lucky that I hit upon a similar rheumy first time.

I hope it has helped having that honest conversation and logical explanation with your rheumy and the new drug does help. Tongue

take care
Alison
Calmwater22
#11 Posted : Sunday, January 24, 2010 7:18:27 PM Quote
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Hi Jenni
umm yes well aprently im not classic case either for RA no huge red swellings,All other parts of RA i show constently.but due to recent new bits occuring re tests for lupus.
it is possible to have both RA and Lupus.

I do however have 1 slightly postive ANA,constant ESR crp not normal.so far all other test negative there is however Negative type lupus it is more rare.

seems to be a common thing occuring lot at out clinic undergoing tests for lupus,RA,or MCTD.
Ra can attack internal organs quite unusal.
lupus the systemic type defintely does.

glad they doing test for u and you got some options for drugs though cans ee how dificult that must be considering reactions youve had hugs.
these discease seem always throw up new tricks wish theyd play ball for our rheumys to treat easier.lol
much lv melly
cuddly cats make my world seem so much more fun
prioryc
#12 Posted : Sunday, January 24, 2010 11:09:36 PM Quote
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Dear Jenni,

I am so glad that there was something left on the shelf which is to be tried in an effort to help you. When do you start and how is it delivered?

With the serious kidney problems that you have endured, and also the family link, it is more than possible that you do have lupus but I suppose that it is the problem which presents as more serious at this time which needs treating primarily. The name of the condition does not matter so much as getting you some decent quality of life my darling.

Hope that it is all happening soon and that it is successful.

Eleanor x
jenni_b
#13 Posted : Monday, January 25, 2010 9:16:29 AM Quote
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Morning all

today is not a good RA day- I clearly swallowed some golf balls in the night and they have lodged themselves in my wrists! Ouch!Scared

anyone got probs with heating- give me a call- i will radiate in your direction!

Stupid RA (even my RA is wonky!)

lol

Jenni xx
how to be a velvet bulldoser
joeyvt
#14 Posted : Monday, January 25, 2010 11:47:37 AM Quote
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Hi Jenni,

I have a very similar problem. My Rheummy has said I've got about 95% RA and a little bit of something else thrown in for good measure, probably Lupus.

Apart from all the usual RA compaints, I have quite severe inflammatiion of the lungs, bowels and my eyes are affected too. Like you, the damage to the joints is minimal by average standards.

I have recently had to stop Infliximab (anti-TNF) because I developed an allergy to it and the Rheummy has suggested I start Rituximab (another biological drug) as it is one of the drugs that would be most helpful in treating the inflammatory side of the disease that seems so active. My first dose is on the 1st of Feb so I'm hopeful that it may do the trick.

I think it may be a good idea to have a chat with your Rheummy about the biological treatments that are available and perhaps you can talk through the possible impact on your other organs.

Hope you start seeing some light at the end of the tunnel and those wrists start to go down!

Joanna
cranachan
#15 Posted : Wednesday, January 27, 2010 6:16:06 PM Quote
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You are not alone. I have RF 800 and Anti-CCP over 300 but the relative lack of joint pain has puzzled the docs. I too however have the systemic side - lung disease, feeling very tired and c**p etc. I have added a heart problem to the list and have had swollen glands in my face for nearly 3 months now. The RA is active but not in the classic way. It has mangled my hands and my knees have bags of fluid around them. I can't stand for extended periods but I am relatively pain free and mobile.

I completed my second course of Rituximab last week, and feel very tired and ill this week. Just hoping it makes a difference.
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