Hello, Welcome to icliniq.com. Your first query consultation is on us! From what you’ve described, your pain doesn’t sound like rheumatoid arthritis (RA). RA usually involves ongoing joint inflammation, and while it can sometimes show up as short episodes, it often comes with swelling that lasts a day or two and then moves to other joints. Your symptoms don’t quite match that pattern. You may have palindromic rheumatism.
Hello, Welcome to icliniq.com. I read your query and understood your concern. There is a strong possibility of arthritis, as it can sometimes present at this age with pain and stiffness. The eczema could be psoriasis, which needs to be confirmed by a dermatologist. There is a type of arthritis called psoriatic arthritis.
Hi, Welcome to icliniq.com. Yes, it is a very good option for rheumatoid arthritis. However, every medicine has its side effects. It is recommended to start with the time-tested DMARDs (disease-modifying antirheumatic drugs) like Methotrexate and sometimes, even combination of DMARDs. If they fail to achieve the desired effect, then Xeljanz (Tofacitinib) or other biological therapy can be considered.
Hi, Welcome to icliniq.com. This test has been repeated several times with variable results. It does not seem to hold much significance in your mother's case, as she never had symptoms related to any disease associated with ANA. ANA is not a screening test. It should be done only if there is suspicion of a related disease.
Hello, Welcome to icliniq.com. Yes, the chances of having RA (rheumatoid arthritis) or developing it are high. Anti-CCP antibodies are associated with RA and may also indicate an aggressive disease. However, there are various prognostic markers. This is only one of them.
Hi, Welcome to icliniq.com. I hope you have met a rheumatologist personally also. Because she is suffering from arthritis, her rheumatoid factor is positive, and blood reports do not seem good as the TLC (total leukocyte count) and platelets are low, and hemoglobin is high. Does she have a history of high Hb? She needs to be on proper medication for RA, and her Salday needs to be stopped. Vitamin D and calcium supplementation needs to be regular, and she need a higher dose of Zempred maybe 16 mg for the time being along with HCQs (hydroxychloroquine), following which CBC (complete blood count) will be repeated and if TLC is normal Methotrexate will be started.
Hello, Welcome to icliniq.com. The NSAIDs you can take are Etoricoxib 90 mg once daily orDiclofenac75 mg twice daily. You can try this out and see which one helps more. Once your pain is controlled, you can try to reduce the dose to alternate days or even lesser depending on your pain. Folic acid supplementation at 5 mg daily and vitamin D supplementation at 60K weekly for two months and then monthly should also continue.
Hi, Welcome to icliniq.com. In light of the fact that you are HLA B27 (Human Leukocyte Antigen B27) positive, the pain that you are experiencing is due to the same problem. This is called enthesitis, and it occurs due to inflammation at the attachment of muscles to bones. So the treatment also remains similar to that of AS. You need to take a full dose of NSAID (non-steroidal anti-inflammatory drugs) whichever suits you best.
Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity), it shows that you have a high ANA (antinuclear antibodies). These are antibodies related to arthritis. I suggest that the pain in your fingers and toes may be associated with the same. In such cases, we generally put you on a medication called Plaquenil (Hydroxychloroquine).
Hi, Welcome to icliniq.com. This problem is called spondyloarthritis, and it is associated with a gene called HLA-B27. It is a chronic disease where there may be periods of relapses and remission. There may be a flare-up of disease during pregnancy or post-pregnancy. Otherwise, it generally does not cause any serious issues with the fetus.
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.