Q. I have joint pain, anemia, swollen lymph node, and fever. Is rheumatoid arthritis the cause?

Answered by
Dr. Nischith
and medically reviewed by Dr. Lochana
This is a premium question & answer published on Oct 28, 2020 and last reviewed on: Nov 05, 2020

Good day doctor I am a 22 year old female. 5.3' and 97lbs And I started experiencing pain in my joints an year ago.The pain continued and increased in intensity. Before eight monts I was told that my blood was a bit low. I fractured my arm very easily before seven months. After that the pain was a bit better since I was taking Dipirona . For my blood I was given iron tablets folic acid and vitamin c and multivitamins. Four months back I was hospitalized for fever,joint pain and anaemia. i was diagnosed with anemia due to deficiency of iron. The joint pain continued and was later diagnosed with rhematoid arthritis . My Alt was high. factor rhematoid was high .electrosedimentation rate was high.i has swollen and inflamed joints and still had anemia . I was given therapy of ozone gas for 20 days and took Predisone for roughly 3 months .Now I am told I do not have arthritis and I am confused . My symptoms now include slight muscle or joint pain ,anaemia,swollen lymph nodes,low grade fever only for a few days not more than 3 ,fatigue,and sore throat at night . I have a raised spot that appears and disappears on my chest (not sure if this is important) leucogram 5.1*10⁹. Lymphocytes 0.32, platelets 0.67,eosinophil 0.3*10⁹. Mcv 79.3 ,Mchc 29.7,globulin 5.3g/dl,LDh 649.7 hematocrit from 0.28 to 0.33 I hope I was clear with my query please tell free to ask any questions


Hello , I understand that you have been diagnosed with rheumatic arthritis through your Blood and clinical parameters. You have been treated for Anaemia and Arm fracture. Your blood reports say , you Are having high inflammatory markers. To diagnose Rhematic arthritis , we need to have several symptoms and signs - We diagnose based on ACR /EULAR criteria - Multiple joint pain / Ra factor value / Anti ccp value ,Raised Esr /CRP & symptom duration . Studying your history , you can be classified as Rheumatic arthritis. Being diagnosed you need not worry as it is treatable condition and it usually follows a waxing waning course which means you can have acute symptoms for a week and slowly symptom free period for a couple of months. It needs vigorous treatment if it is causing Erosion of joints. Kindly follow back with X-rays , if I can be of help . Thank you.

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