Doctor insights on:
What Liver Diseases Mimic Rheumatoid Arthritis
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
Mild suppression: In rheumatoid arthritis, the immune system acts against one's tissues. So, part of the immune system is too active, but in a detrimental way. On the other hand, patients with RA may be more likely to develop infections. Even more so, if they receive medications that suppress the overactive immune system. ...Read more
Nobody Knows: We are not sure what gets the ball rolling, but autoimmune disease in general is a case of "misprogramming" in which the immune system begins to incorrectly recognize the body's own tissues (joints in the case of ra) as though they were foreign. It then attacks them as it would any invading substance. Smoking definitely raises the risk of ra, though we don't know why! ...Read more
How does the genetics affect rheumatoid arthritis is there any mutations responsible for having the disease?
Perhaps: Rheumatoid arthritis is a mystery as to cause. Genetic factors do not seem to be a certain causal factor, but cannot be ruled out. In recent years there was a study of thousands of sufferers who had in common significant exposure to chemicals used to kill weeds and agriculture pests. ...Read more
What is the best medication to start for mixed connective tissue disease that has more rheumatoid arthritis symptoms? When to start?
It depends on you...: If you have RA type findings, your doctor will likely want to select a medication that is used for RA even if your diagnosis is mctd. The choice of medication depends on the severity of your arthritis, your response to previous medications, allergies, other medical problems, and the potential for drug interactions or side effects. It's a complex decision! Speak to your doctor. ...Read more
No: They are unrelated.Get a more detailed 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
See details: It depends somewhat on the joints involved and the severity of the disease activity. The specifics are best discussed with her rheumatologist. ...Read more
Is seronegative rheumatoid joint disease as same as rheumatoid arthritis or is it something else?
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 more
How likely are diseases like diabetes (both kinds) and rheumatoid arthritis to be passed down if they run in my family? Low right?
RA and: Type 1 diabetes are immune disorders with mile genetic predisposition. Type 2 diabetes has a definite genetic component, but 70-90% of the risk comes from being overweight and developing Insulin resistance. Stay lean and active. It's the only one of the three you can affect your predisposition. ...Read more
What causes an elevated jo-1 antibody? I am taking medication for rheumatoid arthritis. Is this related, or does it indicate other disease activity?
Usually not RA.: Myositis can be associated with several types of autoantibodies: anti-jo1 antibodies are a type of anti-nuclear antibody. Anti-srp antibodies are mainly associated with, but are not specific for, polymyositis. The ccp antibody is most specific for ra. Keep in mind that certain meds for RA also work in myositis, such as Methotrexate and steroids. ...Read more
"p23 ab IgM reactive" "p41 & p39 non-reactive" do I have Lyme disease, or can something else cause this? (diagnosed w/ rheumatoid arthritis 7yrs ago.)
Complex: The diagnosis of lyme disease is usually on a clinical basis. Serologic testing should not be done for screening purposes. False positive results are very frequent in patients with autoimmune diseases, particularly rheumatoid arthritis, and particularly when these are IgM antibodies. ...Read more
ESR is 9 mm/h and TSH is 1.03 mIU/L, . Does it mean no rheumatoid arthritis and no automimmune disease?
No: A low ESR may mean that there is no active inflammation but does not rule out the present of an autoimmune disease. On the other hand, if you have an active joint problem and the ESR is normal, then the problem would be unlikely to be an autoimmune issue. TSH is related to thyroid function and is not a gauge for autoimmune disease by itself ...Read more
Autoimmune: Autoimmunity describes an abnormal activity of the immune system turning against and attacking the body itself rather than fighting bacteria, viruses, tumors, etc. Rheumatoid arthritis (RA) manifests itself as painful joint swelling but can also involve the heart, lungs, and other organs. It is critical to get the inflammation under control which most of the time involves seeing a rheumatologist. ...Read more
Can RA factor become +ve due to some other auto immune disease such as vitiligo, a skin prob? Or should I accept that I have rheumatoid arthritis?
Depends: Rf can be a false positive. A rheumatologist can determine if you have RA or not. ...Read more
Is there a connection between rheumatoid arthritis and heart disease/heart attacks? What would it be?
Yes: Rheumatoid arthritis (and any chronic inflammatory state) accelerates formation of atherosclerotic plaques in the blood vessels, and hence is a risk factor for causing heart attacks. Moreover, chronic steroid use (if used to treat ra) may cause metabolic changes that predispose for heart attacks as well. ...Read more
I'm resmi, for last 3 years I'm suffering from a disease rheumatoid arthritis. Now also my health not good.?
Right treatment: If you have rheumatoid arthrtis manybtherapies are verybeffective now days for the control of rheumatoidbarhrtitis. You need tomfind the rightbrheumatologistb. ...Read more
Might having kidney problems, or chronic kidney disease, lead to some form of rheumatoid arthritis?
Which disease usually has the best prognosis: 1. SLE, 2. Rheumatoid arthritis, 3. Psoriasis or 4. Psoriatic Arthritis?
Impossible to say: It depends on the severity of each disease. Psoriatic would be considered the most benign. ...Read more
Does HIV progress faster if some one is already ill with an auto immune disease such as lupus and rheumatoid arthritis?
With family history of Rheumatoid Arthritis (mother), what's the chance of me having the disease too? Am not a healthy individual. Dx of MD & more.
Possibly but not: It is possible, but there are a lot of reasons one guest from a Taurus riders. One is the genetic risk which you have, but their environmental and other issues and infectious issues that seem to play a role. These are things you can discuss with your physician, and you can even have testing right now to see if you have any of the positive tests we sometimes see with rheumatoid arthritis. ...Read more
I am a 53 year old female and have excessive burping. Tried every OTC medication and also ginger root to no avail. I have been to my dr. And he says that I could have soft tissue disease due to having rheumatoid arthritis. When I burp my chest hurts. I do
Hello.: Hello. I am not answering with a differential diagnosis. Burping can be quite painful and bothersome. Medical acupuncture can be very effective for burping. If there is an underlying medical condition, it won't fix that but it might provide some relief between now and when you see the doctor. Take care. ...Read more
My aunt's in icu, diagnosed with rheumatoid arthritis which led to interstitial lung disease - been told 2 weeks to live - any natural alternate tips?
I have grave's disease and fibromyalgia. My mother and great-grandmother had rheumatoid arthritis. How often should I be reevaluated for ra?
I ve been suffering from chronic pain. I have severe rheumatoid arthritis osteoarthritis fibromyalgia congenitive disc disorder had one knee replaced?
Chronic pain: As you may (or may not) know, organized medicine is in midst of turning 180o on its stance on opioids for chronic pain. While we don't want to see our patients suffering, there are some tremendous risks associated w/narcotics such as addiction, overdose & death. See your Family Doc who can start working on non-narcotic options & refer you to Rheumatologist, Orthopedist & Pain Medicine specialist. ...Read more
I take immunosuppresive & other drugs for rheumatoid arthritis. Is there severe risk from hand foot and mouth disease if a child in my family has it?
If you are unlucky: Persons on immuno-suppressive meds have a suppressed immune system! They should avoid sick people, if at all possible. Wearing a medical face mask, along with good hand-washing, can help avoid catching viruses. The current coxsackie a6 strain, in the news, is causing worse hand-foot-mouth symptoms than the typical strain. Bad symptoms include high fevers, vomiting, diarrhea, brain problems, etc... ...Read more
Had allergic reaction to Cephalexin. Could this cause an autoimmune disease to activate? Such as rheumatoid arthritis? Having never befoe joint pain
Arthritis,: As a sequel to drug allergic reaction, can sometimes occur, not as a result of an autoimmune process, but a different immunologic mechanism and clears with time. If you believe your condition is really bothersome, you may want to see a rheumatologist for assessment, good luck ...Read more
I've had pain in my joints, I got blood tests related to autoimmune diseases I got a positive ANA and anti-rnp, is this found in rheumatoid arthritis?
Possible: You should ask your rheumatologist. ANA and anti-RNP are seeing in mixed connective tissue disease and can overlap with rheumatoid arthritis but more information is needed, talk to your rheumatologist about them. RA by itself usually have other 2 antibodies positive called RF (rheumatoid factor) and anti-CCP (citrullinated peptides). ...Read more
This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more