Is it RA?
Is it RA?
Day 1) 3 weeks before I started getting pain just above the right knee (one inch above knee). the pain was most felt while climbing ladder.
Day 2) I got the same pain just above the right knee.
Day 4) I got some rashes closer to ankle (mostly above). reddish bumps.
week 2) the rashes started to disappear and also fresh rashes started comming. pain near knees disappeared but it was not as strong as earlier. started getting pain behind the ankle (just above heel).
week 3) the rashs are comming and going. but just one rash very close to both ankles did not disapper rather changed to a sack with some little fluid type look. I got tollerable pain in right elbow and left fingers. Now I have pain only in left ankle (above heel).
ESR and RA factor is negative and is within safe limits. CBC, uric acid are normal. The pain is most towards the end of day not especially in morning.
Can RA excluded. currently Iam cosulting family physician. he has prescribed anti inflamation drug and anti allergy drug.
Hi Ajai - that's confusing, isn't it? Rashes, pain and swelling. Rashes are not typical of RA. If it's an allergic reaction, it would be helpful to know to what, instead of just covering it up. Have you started using a different laundry detergent, perhaps?
Other blood tests sometimes done include ANA (anti-nuclear antibodies) which can be present in various auto-immune diseases, anti-CCP which is pretty specific to RA. Do you have other allergies that you know of? Another possibility might be to check with a dermatologist to see what his/her reaction to the rash might be. If there's a 'little sack' of fluid, it might be the rash accumulating fluid. If the rash is getting worse despite anti-allergy meds, you might need to focus on finding out what's causing the allergy, because reactions can get worse if the allergen is not removed.
Not sure what else I can add to this...with current information. Are there other medical conditions present? I'm not a medical professional, however...
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Ellen
Wednesday, October 14, 2009 at 09:02 AM
Since each lab may have slightly different reference ranges, and I'm not a medical professional, one really can't make conclusions from isolated results... I was just mentioned some of the tests that are typically done by a rheumatologist, but that may also depend on what they see when they examine you, as to what tests they order.
Changing posture, moving is always good!
i dont think this is RA, i would go see a rhumatoligist to be sure!
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From what you describe this is not the typical pattern of RA. RA is usually bilateral affecting the same joints but can start in one joint before progressing so anything is possible. I have RA and have had rashes as well. I am wondering however if maybe you got a bite from an insect and have had a reaction to it? I would suggest to keep a diary of your symptoms and continue to seek medical attention until you have a diagnosis.
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I just thought of something else, you might possibly have a blood clot and a cellulitis. Sitting for prolonged periods of time can impede your circulation leading to a blood clot. It might be worth your while to mention this to your GP.
Hope your issue gets resolved.
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Thanks for the response. below are the other immune related tests and results done. all are well within reference range.
BLOOD - BIOCHEMISTRY
CREATININE: 1.0 mg/dL
Uric Acid: 7.1 mgs/dl
BLOOD - SEROLOGY
A.S.O. TITRE 20.0 IU/ml
Method : Immunoturbidimetric
C.R.P. ( C-Reactive Protein 2.3 Mg/L
Method : Immunoturbidimetric
RHEUMATOID FACTOR: 6.5 IU/ml
Method : Immunoturbidimetric
Two things I remember I did.
Before the knee pain started (3 weeks before), I was sitting and working a lot in that week (almost 16 hours per day).
The day before rashes started, I was sitting and travelling on a bus for 12 hours and ate some raw sprouts enroute.
Now, I changed my posture, and work routine to be very minimal, still the pain is continuing as described earlier.