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The Link Between Allergies and Rheumatoid Arthritis - Types of Allergies, Symptoms, Treatment

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The link between allergies and rheumatoid arthritis (RA) is complex. Read the article to learn more.

Medically reviewed by

Dr. Anshul Varshney

Published At January 4, 2024
Reviewed AtJanuary 4, 2024

Introduction -

Allergies and rheumatoid arthritis (RA) may not seem like they have much in common, but there is a link between the two conditions. Patients with RA are more likely to experience allergies than the general population. This means that if someone has RA, they should be aware that they may be more likely to suffer from allergies. It is also important to know what types of allergies are most common in patients with RA so people can better manage their condition.

What Are the Types of Allergies Linked to Arthritis?

In recent years, researchers have begun to uncover more and more evidence that suggests a link between allergies and rheumatoid arthritis (RA). These findings suggest that people with allergies, particularly those with seasonal allergies, may be at an increased risk of developing serious autoimmune diseases like RA. To better understand the connection between allergies and RA, it is important to understand the different types of allergies. For the purposes of this article, we will focus on the three most common types:

  1. Inhalant Allergies: These allergens are typically airborne and include pollen, dust mites, pet dander, and mold spores.

  2. Food Allergies: These can cause a range of symptoms, including rash or hives, swelling, stomach upset, and vomiting. Common food allergens include milk products, wheat, soy, and eggs.

  3. Skin Allergies: Also known as contact dermatitis or eczema, these allergic reactions are caused when someone’s skin comes into contact with a certain substance, like fragrances or metals such as nickel or cobalt.

By understanding the types of allergies potentially linked to RA, people can better appreciate the underlying causes of this potentially debilitating condition.

What Are the Most Affected Joints?

Not surprisingly, considering the inflammation that is an underlying cause of RA, the most affected joints are usually located closest to the body’s core (the wrists, elbows, shoulders, hips, knees, and ankles). Other areas, such as the neck and spine, can also be affected in some cases. RA often causes symmetrical symptoms; for example, if one knee is swollen, the other one is likely to be too.

If someone has RA and allergies at the same time, it is important to understand how they are linked. Allergens can create inflammation and exacerbate the pain caused by RA. This can then lead to further joint damage and increased discomfort in the joints. Tracking the symptoms is important so that people can identify any possible triggers or allergens that may be making their RA worse.

When determining whether allergies and rheumatoid arthritis may be linked, there are some symptoms that people should look out for. These include:

  • Pain and Swelling: Pain, stiffness, and swelling are common in both rheumatoid arthritis and allergies. With rheumatoid arthritis, joint pain usually occurs on both sides of the body. On the other hand, an allergic reaction can cause localized pain, swelling, or itching at the site of exposure.

  • Inflammation: Both allergies and rheumatoid arthritis can cause inflammation throughout the body. With allergies, inflammation is often due to an overreaction of the immune system to a foreign substance in the environment. With rheumatoid arthritis, inflammation is caused by a malfunction in immune system regulation, resulting in an overproduction of inflammatory chemicals that can damage tissue.

  • Fatigue: Fatigue is a major symptom of both allergies and rheumatoid arthritis. Allergies can cause fatigue as a result of inflammation or an energy-draining response to a stimulus. Rheumatoid arthritis can also cause fatigue due to chronic pain and stiffness, as well as periods of extreme activity followed by restful periods.

How to Do Diagnosing and Testing for Allergies Linked to Arthritis?

Diagnosing allergies linked to arthritis can be an involved process. In order to determine if an individual has an allergy linked to arthritis, testing is required. Testing options include blood and skin tests that measure the level of antibodies in the blood and specific reactions that occur when a person’s skin is exposed to the allergen.

Additionally, it is important for those who suspect they have allergies related to their arthritis to keep a food diary, noting reactions they may have after eating particular foods. This diary can help doctors pinpoint any potential allergen triggers that may be causing or worsening their symptoms.

Regardless of how allergies are diagnosed, it is important for sufferers of arthritis and allergies alike to understand how the two conditions are related and take steps to manage both conditions for optimal health.

What Are the Treatments for Arthritis and Allergies?

Living with allergies or arthritis can be difficult, but luckily, there are treatments available to help manage the symptoms. For allergies, treatments may include antihistamines, decongestants, and immunotherapy. For arthritis, therapies such as physical therapy and exercise, hot and cold packs, steroid injections, and medications such as nonsteroidal anti-inflammatory (NSAIDs) and disease-modifying antirheumatic drugs (DMARDs) may provide relief from pain and inflammation.

Additionally, there are lifestyle changes one can make to help reduce the risk of developing allergies or arthritis. Reducing exposure to potential allergens, such as dust mites or pet dander, may help prevent allergy symptoms. Eating a healthy diet with plenty of fruits and vegetables that are low in red meat and sugar can also reduce the risk of developing rheumatoid arthritis. Getting regular exercise can help reduce joint pain caused by arthritis and keep joints flexible.

How to Manage an Allergy-Arthritis Connection?

Most people with allergies do not think twice about how they may be connected to rheumatoid arthritis, and yet the link between the two conditions is undeniable. In order to ensure the health risks and symptoms are properly managed, it is important to understand the relationship between allergies and rheumatoid arthritis.

  1. Allergy-Triggers: For someone with rheumatoid arthritis, allergies can result in an attack more quickly than for someone without. Common allergy triggers may include pollen, pet dander, mold spores, or dust mites, with each exposure potentially putting additional stress on the joints.

  2. Symptoms Flare-Ups: When exposed to an allergen, the body responds by releasing histamine chemicals that cause inflammation and can make existing RA pain worse. Allergy flare-ups can lead to joint swelling or stiffness as well as increased fatigue or fever. Over time, these flare-ups can contribute to permanent damage in the joints.

  3. Coping Strategies: Though there is not a direct cure for this relationship between allergies and RA pain, certain coping strategies may be beneficial for reducing exposure and controlling symptoms. Some solutions may include:

  • Identifying common allergy triggers in the environment and taking steps to limit exposure (that is, using air filtration systems).

  • Taking medications like antihistamines to reduce inflammation caused by histamine release.

  • Achieving better stress management through activities such as yoga or meditation.

By being aware of the connection between allergies and RA pain, people can make informed decisions that lead to better joint health over the long term.

Conclusion

In conclusion, the link between allergies and rheumatoid arthritis is one of the most intensely studied yet least understood medical phenomena. While studies have not yet been able to link a specific allergy with the onset of rheumatoid arthritis, the evidence strongly supports the notion that a combination of allergies, environmental or lifestyle factors, and prolonged stress can increase the risk of developing the condition. In addition, the severity and location of arthritis-affected joints can be influenced by specific types of allergies. The good news is that there are a number of treatments and lifestyle modifications available to help reduce the severity of the condition and prevent further deterioration of the joints. By understanding the risks, identifying the types of allergies that may contribute to the onset of rheumatoid arthritis, and implementing the appropriate lifestyle and medical treatments, patients can reduce the risk of developing this debilitating disease.

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Dr. Anshul Varshney
Dr. Anshul Varshney

Internal Medicine

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