Doctor insights on:
Seropositive Rheumatoid Arthritis
I have seropositive rheumatoid arthritis/anti-ccp strongly positive. What the heck does that mean?
Better prognosis: Same disease. Seronegative rheumatoid arthritis (where rheumatoid factor and anti-ccp antibody tests are negative) generally has a better prognosis with a better response to medications and lower chance of joint damage. It is treated similarly to seropositive RA except that some biologic medications (rituximab, abatacept) may not work as well in seronegatives. ...Read moreSee 1 more doctor answer
Yes: A patient with a positive serology and rheumatoid arthritis can have severe disease. But also people who are seronegative can have severe damage. The highly positive seropositive patient can have more severe rheumatoid disease beyond the arthritis rheumatoid arthritis is a systemic disease of which arthritis is one manifestation. There can be systemic disease of eyes, lungs, heart to name some. ...Read more
Good: We have developed a variety of medicines that can help rheumatoid arthritis. The important thing is early as possible diagnosis and immediate and intensive therapy including medications, exercise including physical therapy. We need to start medication as soon as possible. ...Read moreSee 2 more doctor answers
Several factors: Stress one frequently reported factor in rheumatoid arthritis flare-ups is stress.Some foods can trigger arthritis flare-ups. Among these, cow's milk is the most often cited, but shrimp, wheat and some meats, hen's eggs and codfish also are implicated. Echinacea echinacea has been cited as a possible cause of flare-ups in those with rheumatoid arthritis, . ...Read moreSee 1 more doctor answer
Exercise, medication: The therapy included physical exercise and medications. Once diagnosed we begin intensive therapy with medications such as Methotrexate alone or in combination with other dmards which are disease modifying anti-rheumatic drugs or we add biological medications to the Methotrexate such as enbrel, humira, remicade, cimzia, simponi - anti-tnf or other biologics-rituxan, abetacept, actemra. ...Read moreSee 2 more doctor answers
Not well studied: To my knowledge, I've not read that rheumatoid arthritis (RA) symptoms are better or worse in any season. There have been some recent studies suggesting that the change in barometric pressure may effect some types of arthritic symptoms. However this is not specific to RA. ...Read moreSee 2 more doctor answers
Anti inflammatory: A whole food diet, fruits, vegetables, whole grains, nuts, legumes, lean protein and healthy fats like omega 3 fatty acids found in some fish like salmon. Avoid processed foods, too much sugar, simple carbs, like bread, cookies cakes and crackers.These cause your blood sugar to rise quickly and increase inflammation in your body. Some people do better avoiding nightshade vegetables. ...Read moreSee 1 more doctor answer
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