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The Watercooler
It has gone from gout to RA within a year??? Sorry but WTH?
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<blockquote data-quote="svengandhi" data-source="post: 602915" data-attributes="member: 3493"><p>DDD -</p><p></p><p>It is NOT rare that a 20 something would have RA. I was diagnosed a few weeks before I turned 20 and had been ill for almost 3 years at the time. The prime years for diagnosis is early 20's to 30's. What is more rare is that a male would have RA as it's overwhelmingly a female disease.</p><p></p><p>If he is getting steroid injections, it is likely cortisone to take down swelling. The shots you administer to yourself are likely biologics, like Humira or Embrel. He may have been diagnosed with gout because he initially had symptoms in his feet. Has he had blood testing? Does he have rheumatoid factor? I don't, so it isn't a prerequisite to having RA as you can have it without the factor. Has he been tested for Lyme disease, some of the symptoms of which can mimic RA? I was tested about 20 times for Lyme because I don't have RA factor. Does his back appear to be stooping over? Has he been checked for ankylosing spondylosis, which primarily affects men. If you've ever seen a man so stooped over that he looks like he's at a 90 degree angle, it's usually that disease.</p><p></p><p>There are other treatments which can be given before resort to biologics. I am currently in a flare and am taking 7 Methotrexate pills once a week and Aleve once daily. At the beginning of the flare, I had my knee drained and cortisone injected. I was on Prednisone for a few months but weaned off. My rheumatologist (don't allow him to be treated by anything but) wanted to go with biologics but I was very opposed. I had x-rays done which showed that I didn't have serious joint deterioration so the doctor allowed me to stick with non-biologics. I have some morning stiffness but the Aleve really helps with that. I'd rather be a little stiff than use biologics until I have absolutely no choice.</p><p></p><p>Also, look into dietary changes. Dairy and tomatoes (nightshade family) can aggravate a flare. A visit or two with a nutritionist can also be a good idea. If he has an SO, they should go as well to hear what should be avoided.</p><p></p><p>When I was first diagnosed, I was told I'd be lucky not to be in a wheelchair by 25. That was 30 years ago and I'm still walking on my own. </p><p></p><p>RA can usually be managed.</p></blockquote><p></p>
[QUOTE="svengandhi, post: 602915, member: 3493"] DDD - It is NOT rare that a 20 something would have RA. I was diagnosed a few weeks before I turned 20 and had been ill for almost 3 years at the time. The prime years for diagnosis is early 20's to 30's. What is more rare is that a male would have RA as it's overwhelmingly a female disease. If he is getting steroid injections, it is likely cortisone to take down swelling. The shots you administer to yourself are likely biologics, like Humira or Embrel. He may have been diagnosed with gout because he initially had symptoms in his feet. Has he had blood testing? Does he have rheumatoid factor? I don't, so it isn't a prerequisite to having RA as you can have it without the factor. Has he been tested for Lyme disease, some of the symptoms of which can mimic RA? I was tested about 20 times for Lyme because I don't have RA factor. Does his back appear to be stooping over? Has he been checked for ankylosing spondylosis, which primarily affects men. If you've ever seen a man so stooped over that he looks like he's at a 90 degree angle, it's usually that disease. There are other treatments which can be given before resort to biologics. I am currently in a flare and am taking 7 Methotrexate pills once a week and Aleve once daily. At the beginning of the flare, I had my knee drained and cortisone injected. I was on Prednisone for a few months but weaned off. My rheumatologist (don't allow him to be treated by anything but) wanted to go with biologics but I was very opposed. I had x-rays done which showed that I didn't have serious joint deterioration so the doctor allowed me to stick with non-biologics. I have some morning stiffness but the Aleve really helps with that. I'd rather be a little stiff than use biologics until I have absolutely no choice. Also, look into dietary changes. Dairy and tomatoes (nightshade family) can aggravate a flare. A visit or two with a nutritionist can also be a good idea. If he has an SO, they should go as well to hear what should be avoided. When I was first diagnosed, I was told I'd be lucky not to be in a wheelchair by 25. That was 30 years ago and I'm still walking on my own. RA can usually be managed. [/QUOTE]
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It has gone from gout to RA within a year??? Sorry but WTH?
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