Can the symptoms of RA start late in a 45-year-old man?

Question

Hello doctor,

Is fever a symptom of RA only in children, or can adults experience it too? I have had a low-grade fever for the past nine days—just enough to make me feel awful. My rheumatologist told me that only children with RA get fevers, which confused me.

I am 45 years old and was diagnosed with RA several years ago, though my symptoms only began a little over a year ago. I am currently taking Cimzia and Hydroxychloroquine. My doctor advised me not to take my injections until I have been fever-free for at least three days. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

In rheumatoid arthritis (RA), inflammation is a key feature, and a mild fever can sometimes occur. However, in adults, fever is usually not as high as it is commonly seen in children with RA.

You're currently taking disease-modifying and biologic medications, which should be continued as directed by your doctor. If your symptoms are not improving, your doctor might consider switching Hydroxychloroquine to another DMARD, such as Methotrexate.

For managing pain and inflammation, a non-steroidal anti-inflammatory drug (NSAID) can be prescribed. Steroids are generally reserved for more severe inflammation or flare-ups.

Please consult your rheumatologist for a physical evaluation and to adjust your treatment plan if needed.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.