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Doctor insights on: Ra Seronegative Lupus

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What is worse lupus or ra?

What is worse lupus or ra?

It depends: It depends on the severity of the involvement. Each disease can be relatively mild or be very severe. ...Read more

Dr. Tracy Lovell
926 doctors shared insights

Rheumatoid Arthritis (Definition)

A chronic inflammatory disorder that affects joints and may also affect ...Read more


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I have all the symptoms for lupus or ra, but tests came back negative. Can I still have either?

I have all the symptoms for lupus or ra, but tests came back negative. Can I still have either?

RA maybe; lupus no: Blood tests for RA are negative in up to 30 percent of cases. The screening blood test for lupus is negative only rarely. ...Read more

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My primary dr refused to order lupus or other immune disease tests.I have severe RA uncontrold 4 more than 9 months on all strong RA meds.Why refuses?

My primary dr refused to order lupus or other immune disease tests.I have severe RA uncontrold 4 more than 9 months on all strong RA meds.Why refuses?

Local Problem: I am sure you understand that not one of us can speak for them or explain their choice. This is a question you have every right to ask of them. But we cannot answer for them. ...Read more

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I have lupus, ra, as, inclusion body myosytis. I live in western ny. Is there a better place to live?

I have lupus, ra, as, inclusion body myosytis.  I live in western ny. Is there a better place to live?

Usually doesn't help: While many patients with various forms of arthritis will often report improvement with a change in climate (warm dry vacation, for example), these effects are usually temporary and moving permanently to your favorite vacation spot will probably "wear off" in time. ...Read more

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How often should blood work be redone to check for RA or Lupus?

How often should blood work  be redone to check for RA or Lupus?

Depends: Blood work may be done for initial diagnosis and those tests do not need to repeated once the diagnosis is established. There are different tests to measure the disease activity and those may be done to assess the effectiveness of treatment and the frequency varies with the disease activity and responsiveness to treatment. ...Read more

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My inflammation level is 73. It keeps rising. I have been tested for ra, cancer, lupus. All were negative. What can I do?

See details: An elevated ESR has numerous causes. Any disease that can cause inflammation can raise the esr. You do not list symptoms so I have no specific suggestions. I would make sure a serum protein electrophoresis has been done. ...Read more

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Can gluten exposure cause systemic arthritic type flare-ups days after exposure? Lupus & RA negative labs.This has happened 3 times last year.

Can gluten exposure cause systemic arthritic type flare-ups days after exposure?  Lupus & RA negative labs.This has happened 3 times last year.

By Gluten "exposure: i assume you are referring to Gastrointestinal ..ingestion and gluten intolerance (adult "coeliac" disease and other Gastro-intestinal disorders leads to GI symptoms..not arthritic flare ups as commonly associated problems! Talk with your PCP about a referral to a Board Certified RHEUMATOLOGIST for further evaluation! Hope this helps! Dr z ...Read more

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What causes spinal stenosis in someone who is 44? I also have lupus & ra. The pain has been debilitating for two weeks now, what are my options?

What causes spinal stenosis in someone who is 44? I also have lupus & ra. The pain has been debilitating for two weeks now, what are my options?

Many prospects: Stenosis may be caused by any structure that occupies space in the spinal canal leading to crowding of the nerve roots. This could include bulging/herniating discs, thickening of the joints or ligaments and the presence of cysts. This can occur with a single entity or any combination of structures. However, pain may also not be due to stenosis. It could be inflammation, poor blood flow, etc. ...Read more

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Is it true that all auto immune diseases has the same medications so if you have RA then you find out you have lupus not RA the treatmen plan is same?

Is it true that all auto immune diseases has the same medications so if you have RA then you find out you have lupus not RA the treatmen plan is same?

Different meds: Although most flare ups of various autoimmune conditions will respond to similar steroid medications, the actual maintenance/routine medications and long term treatment plans are often quite different. ...Read more

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I am 46 years old. I have ra, lupus, spinal stenosis and a collapsed disc. I am afraid of both getting and not getting afusion done. What are its pros and cons?

I am 46 years old. I have ra, lupus, spinal stenosis and a collapsed disc. I am afraid of both getting and not getting afusion done. What are its pros and cons?

You are a high risk : Patient for surgery in terms of wound healing issues, infection and fusion success. That does not mean surgery should not be done if truly indicated and needed understanding this risk. You should get a second opinion and make sure you have exhausted all non op options and discuss various surgical options to minimize risk and increase success rate. ...Read more

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My blood count #'s continue to show me very anemic.They cannot find blood anywhere despite being tested. Could my lupus, ra, high BP & their rx's (plaquenil, methotrexate & gabapenten) be causing it?

My blood count #'s continue to show me very anemic.They cannot find blood anywhere despite being tested. Could my lupus, ra, high BP & their rx's (plaquenil, methotrexate & gabapenten) be causing it?

Yes.Can suppress bon: Your doctors may do a CBC (complete blood count) with differential. It can give many clues as to the cause of anemia and direct the next testing to be done. If iron deficiency or vitamin B12 deficiency is indicated as a possible cause, you will receive testing and supplements.Autoimmune disease, chronic illness can suppress bone marrow that makes blood cells. You may need a bone marrow biopsy. ...Read more

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I have systemic lupus and RA what is the best pain meds I could ask my doc to prescribe?

I have systemic lupus and RA what is the best pain meds I could ask my doc to prescribe?

Get to the root: The root problem of both diseases is inflammation. Disease-modifying medications (rx) must be considered before all else as inflammation control relieves many symptoms including pain. After that, anti-inflammatory rx and/or analgesic rx can be prescribed but there is no one "best" rx. ...Read more

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How quick can a blood work test for lupus or RA go from constantly being negative to finally showing up as a positive?

How quick can a blood work test for lupus or RA go from constantly being negative to finally showing up as a positive?

Check the Laboratory: Call the laboratory and make sure that their quality controls were within their established standard deviations on the batch of tests that your specimen was run and also find out any possibility of false positives for that particular method that they are using to do your test. ...Read more

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I have very high inflammation levels my no. Is 73 and rising. Been tested. No cancer, lupus, ra, but no answers. Any ideas?

Unclear question: What is 73? Who gave you this number? If you do not have any symptoms, why did you have the test done? If would be prudent to consult a qualified md. ...Read more

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I was diagnosed with ra. Recently, I have been showing the symptoms of lupus. Minus the butterfly rash. Is it possible that i was misdiagnosed?

I was diagnosed with ra. Recently, I have been showing the symptoms of lupus. Minus the butterfly rash. Is it possible that i was misdiagnosed?

RA and LUPUS: Ra is a crippling collagen disease and also related to lupus. The two kinds of lupus are discoid (localized) and systemic. The sx are similar but it depends on the organ involved. Both give positive results in the blood, RA positive and le positive. ...Read more

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Diagnosed with RA ten years ago RF negative , lupus malar and photosentive discoid rash over whole body, malar tested positive for Cutuneous lupus?

The question is?: So what is your question? There are only two possibilities. One is that you have 2 diseases, RA and lupus. The other is you never had RA, it was always just lupus. Ask your doctor or rheumatologist about it. ...Read more

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I have a sed rate of 71. Been tested for lupus, ra, cancer. Any ideas what it could b?

I have a sed rate of 71. Been tested for lupus, ra, cancer. Any ideas what it could b?

Anything: It means that you may have inflammation or an infection going on but i agree that it is not specific. Estrogen intake can also increase esr. I would recommend that you get a CRP in a month if you have joint or muscle symptoms. An elevated ESR (CRP) is linked to higher cardiovascular risk. Be sure to have dental check regularly to prevent chronic gingivitis. ...Read more

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What is the best climate for me. I have lupus scleroderma RA fibromyalgia and crest syndrome ?

What is the best climate for me. I have lupus scleroderma RA fibromyalgia and crest syndrome ?

The Mighty Vitamin D: You may do better in warmer climate closer tot he equator for 2 reasons: more vitamin D and more exercise . Receiving more sunlight would naturally raise your vitamin D levels. Adequate vitamin D is essential for fibromyalgia relief, and is a powerful anti-inflammatory.More exercise, especially light walking or yoga on the beach would add to the benefit of vitamin D. ...Read more

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Can you still have RA or lupus without it showing in blood work? Not sure what test doc did either.

Can you still have RA or lupus without it showing in blood work?  Not sure what test doc did either.

Potentially: Some patients with RA will not show positive blood markers for quite some time after they develop the condition. There is a term called seronegative spondyloarthropathies that describes a group of patients that clearly have an inflammatory arthritis, but there blood tests are negative. ...Read more

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With RA, fibermyalgia, lupus is it normal to feel achy fluish alot of the time? I just have NO energy and ache so bad. Any suggestions? ?

With RA, fibermyalgia, lupus is it normal to feel achy fluish alot of the time? I just have NO energy and ache so bad.  Any suggestions? ?

Yes, but hard: Those are some very difficult conditions and I admire your courage to face them w/ hope. Look here on HealthTap for or contact Dr. Petr Bocek in Manassas, VA. Read about this combo: http://www.arthritistoday.org/tools-and-resources/expert-q-and-a/fibromyalgia-questions/fibromyalgia-lupus.php Stay as well as possible via diet, exercise, spiritual/friendship, relaxation. Find Tx ASAP. ...Read more

Seronegative (Definition)

Having or being a negative serum reaction especially in a test for the ...Read more