I am the one going bump in the night?
Oh where to start. First of adjectives I have been going through strange things for yesteryear two years. The most important being severe common pain and constant infections. I am 25. Everyone says arthritis. My rheumatologist is persevering that I do not have arthritis. I have see two. Even though nearly every joint I have hurts, I own documented inflammation and fluid around my joints. But of course I own normal blood work.
Anyway, last november literally back my eyes within an hour's time a large bump appeared on my knees cap. I know because it was raw. It is 3 cm wide. It has be MRIed. They dont know what it is but it shows up as soft tissue. Then two months ago another one appeared on my elbow. Then a month ago a small one the size of a pea appeared on one of my toes.
I now have roughly speaking 12 total. They literally are appearing overnight at this point but seem to be confining themselves to both of my feet. I am getting one biopsied but anyone own any ideas?
Answer: The most likely diagnosis is seronegative rheumatoid arthritis, basically like myself. And what you have seem to be to be rheumatic nodules.
Get a second opinion from an orthopaedist who is more qualified than a rheumatologist to diagnose and treat bone and joint diseases, including rheumatic diseases.
Rheumatic diseases are the result of a defective gene and collagen inflammation, commonly from a chronic infection. Collagen is present throughout the body, from the eyes, skin and joints to the heart. Hence, the multiplicity of symptoms, depending on the location of the most affected internal organs or body parts.
Rheumatic diseases are diagnosed within much the same way as rheumatoid arthritis, through various blood tests showing inflammation:
- Antistreptolysin-O (ASO);
- C-Reactive protein (CRP);
- Erythrocyte sedimentation rate (ESR);
- Rheumatoid factor (RF);
- Immunoglobulins A, E, and G;
- Complement 3 (C-3).
For more than 27 years, I have have seronegative rheumatoid arthritis like 20% of patients with rheumatoid arthritis. The describing signs are the following:
- Joint pain or cracking joints surrounded by the lower extremities, feet, ankles, knees or hips in the impulsive 20's or late teens;
- Fatigue, especially after a moderate exercise like a 30 minute tramp;
- Blood test showing a negative or low even of Rheumatoid factor (RF);
- Joint deformities of the fingers, after a few years, a specific sign of rheumatoid arthritis;
- Consecutive X-Rays, over several years, showing bone erosion, a consequence of rheumatoid arthritis;
- Generalized arthritis, involving the whole body;
- Blood test showing elevated levels of C-Reactive protein (CRP) and Sedimentation rate (ESR).
Antibiotics like Minocin, NSAIDs resembling Voltaren, COX-2 inhibitors like Celebrex, acetaminophen like Tylenol, codeine, and statins approaching Lipitor are all used to control inflammation and relieve the pain of arthritis.
Regular exercise close to walking, biking and swimming is also helpful for most patients. Make sure that you are not overweight as carrying too much weight can lone increase the pain of arthritis in the supporting joint of the hips, knees, ankles and feet.
For any form of arthritis, you should consult an orthopaedist who will order blood test, joint scans and X-Rays to better diagnose the type of arthritis from which you suffer.
The American Academy of Orthopaedic Surgeons at http://www.aaos.org maintain a public online directory where you can find the address and phone number of orthopaedists who belong to the American Academy of Orthopaedic Surgeons. Orthopaedists are listed by geographic location and relatives name, inside the USA and in most countries.
The sponsorship directory of the AAOS is located at:
http://www6.aaos.org/about/public/member...
The American Academy of Orthopaedic Surgeons maintains a wealth of information online at:
http://orthoinfo.aaos.org
Lyme disease could be a possibility. Ask your doctor to exam you for the bacteria causing Lyme disease.
Are at hand any other cases of arthritis or rheumatic diseases among your relatives? Chronic forms of arthritis are usually prevalent in families where on earth a defective gene is passed on by parents to their children.
There are a few hundred types of arthritis and rheumatic diseases. The good news is that science is progressing hastily in its understanding of rheumatic diseases.
Antibiotics are very soon used to achieve full remissions for at least 40%, if 65% of patients with rheumatoid arthritis. For rheumatic diseases which are less severe, the number of patients making a full rescue can be even more impressive. For more info, please join the antibio group at:
http://health.groups.yahoo.com/group/ant....
Have a right doctor aspirate some joint fluid and send for microscopic evaluation. (possibly can be done at impossible to tell apart time as the biopsy).
Your possible multiple lipomatosis could be part of a systemic collagen vascular pathology or auto immune process.
Sero negative arthropathies are not unusual..
fibril disease? not sure, your symptoms are not common.
hope all is economically for you..best to you..