Doctor insights on:
Does Rheumatoid Arthritis Always Show Up In Blood Work
Possible negative: Rheumatoid factor (rf) and cyclic citrinullated peptide (ccp) are the two tests that help confirm a diagnosis of rheumatoid arthritis. Other tests are done to measure inflammation, determine which drugs may be used, etc. About 15% of people with RA are rf and ccp negative. ...Read more
A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more
Can it be possible to have juvenile rheumatoid arthritis as a kid but not have it show up in blood work as an adult?
Yes, no blood test..: There is no blood test for juvenile rheumatoid/idiopathic arthritis. Kids can have all completely normal labs and still have very active disease. It is a clinical diagnosis based on inflammation of the synovial cells lining the joints that can be seen as joint swelling much of the time on exam. Kids never "outgrow" jia/jra. They have it for life, even as adults with flares of arthritis (not ra). ...Read more
Yes: In ~ 40% of people with bona fide Rheumatoid Arthritis (RA) the RHEUMATOID FACOR (RF) test will never be positive. Non specific tests that measure inflammation (WESR/CRP) may also be normal in early RA. The CCP test, however, is very sensitive in early RA ; ~ 80/90% of the time it will be (+). One of the "best" tests is to see a doctor who can recognize the early signs of RA: synovitis of joints. ...Read more
Is it possible to have rheumatoid arthritis with a normal RA factor? My labs show my level was 12.6 but I have the symptoms of the condition.
Hum: In rheumatoid arthritis you might have for other reason inflammation , but muscle contraction is really not a feature of rheumatoid arthritis , flexure contracture might occurs , that are reducciton on the lengh of the tendons with dys functionallity those have to be evaluated and specific therapy instituted. Some patients with rheumatoid arthritis suffer of fybromyalgia, and have contractures. ...Read more
Yes.: My colleagues believe it is the first choice (acr and eular), but while I use it as a second or third drug, the benefit/risk ratio is incredibly good. Methotrexate has little or no justification to be taken orally though. Unpredictable absorption, stomach concenbration build up, and going to the liver on first-pass! the liver sees 600x the ultimate concentration in the blood. ...Read more
Is it possible for someone who's 50 to have rheumatoid arthritis even if the blood work n X-ray was negative..??
No: There is a group of diseases called "seronegative arthritis." In this case, the lab tests do not demonstrate rheumatoid arthritis but do often show elevated levels of inflammation in the body. These diseases can have some similar symptoms to rheumatoid arthritis and are often treated using the same medications. ...Read more
Plaquenil (hydroxychloroquine). When does it start to work? When will it be fully working n treating for rheumatoid arthritis? When will i notice improvement?
Yes: Indocin is a non steroidal anti-inflammatory drug (NSAID) like Motrin. It can help the pain and stiffness but does slow down joint damage. (disease progression) Asulfadine is a diseases modifying medication (DMARD). This class of drugs can help pain and stiffness and also help slow down disease progression. Other commonly used DMARDS include: methotrexate, Arava, (leflunomide) and plaquenil. ...Read more
Erythrocyte sedimentation rate.High
rheumatoid factor cold be present
cyclic citrullinated peptide (ccp). Like the rheumatoid factor, the ccp is another antibody that may be found in the blood of adults with rheumatoid arthritis. ...Read more
M58, what will differentially diagnose multiple multiple myeloma and rheumatoid arthritis, simple economical blood work. ?
Not so easy: Ra is a disease diagnosed bya qualified based on blood work and clinical symptoms and signs. It can be made by your pcp but your best bet would be to see a rheumatologist. For multiple myeloma, the initial work up requires both blood and urine tests to screen for the proteins produced by the disease. Neither condition can be made by bloodwork alone. You need to see a physician. ...Read more
How often should blood work and xrays be done? For rheumatoid arthritis. I feel like my doc is ordering excessive labs and xrays.
I can not answer--: -this 4 U. I assume U R Cing a rheumatologist. Confront him about this in a sweet & gentle way so as not 2 offend. Make it casual. Some MD'S R sensitive & so try not 2 make it an attack on judgment buy more in a curious manner. It is Ur right 2 know. ...Read more
I've had rosacea since i was a teenager, i tried laser but it didn't work. Are there any new treatments? I also have rheumatoid arthritis.
Rosacea treatments: There are lots of treatments available for rosacea. We have creams, washes and oral antibiotics in addition to the laser treatments.. You might want to be sure you have had a blood test to rule out lupus. Since you have arthritis you want to be sure your facial rash is not related. Don't give up on treating your problem. When 1 treatment plan doesn't work we can try another plan. ...Read more
Had alcohol last night forgot I have blood work this morning to c if I have rheumatoid arthritis/lupus. will the alcohol inhibit the tests results?
No: best wishes for your workupGet a more detailed answer ›
Hi, I am waiting for the results of my x-rays and blood work to see if I do have early stage Rheumatoid Arthritis. Can using Rituxan (rituximab) cause this?
I have rheumatoid arthritis in two disk in my neck. Could that be the reason for my right arm pain. The xray does not show why my arm hurt so bad.
The RA affects the -:
Whole body and arms specifically, alone or from neck. Xrays of the neck will confirm spondylosis but not the disks themselves. Xray of arm may not show a cause of pain in it, except excluding a number of them.
Mri neck will confirm disc herniation ; if its causing a nerve to be pinched. If so, then that might be a reason of your pain. Otherwise other causes will need to be found with an exam. ...Read more
Blood test shows markers for lupus and rheumatoid arthritis,cbc showed high white blood count. What does this mean? Do I have the auto immune issues
If i hav shingles when getti HIV test 21 weeks after unprotected sex would antibodies show? I hav rheumatoid arthritis and take sulfsalzine. Thank you
HIV testing: First. It is not appropriate for your doctors not to be doing the right testing in this situation. You should be offered and HIV RNA test. Not just an antibody test. If your HIV test is negative then that is good news but it is too soon to be fully valid. Hiv infection can be prevented after an acute exposure if one acts within 72 hours after exposure. Every human should now know this imp. Fact. ...Read more
Right eye appears to bulge slightly at the bottom . Pupil larger than the left eye. Suffer from Rheumatoid Arthritis. MRI shows no growth behind eye?
Specialist: This needs to be seen by Neurologist and or eye specialist. ...Read more
I am having extreme pain and burning in my index finger and morning stiffness in other fingers it gets better after the morning. It is only in one hand and iblood work does not indicate rheumatoid arthritis.?
I have had rheumatoid arthritis for 10 years and my foot on side when applied pressure has extreme pain. will ice or heat work? and will ibuprofen?
Yes: They do offer some relief to most people irrespective of the cause of the pain ...Read more
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