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Sunday, December 18, 2011 Phoenix690 asks

Q: 23 year old female with hives, stiff back, wrist pain, and family history of ra. Should I bother trying to get in to see a rheumatologist?

I'm wondering if it is possible that I have ra. I'm 23 and female. My grandfather had ra for over a decade before he died. My symptoms started almost 5 months ago with a bad case of hives. I was prescribed prednisone and felt fine for the 5 days I was on it. After that I had a flare up of hives again and just felt like crap. I was put on a tapering dose of prednisone for a month after that and once again I felt fine until the dose got really low. Since then I have been controlling the hives with massive amounts of antihistamines both loratadine and benadryl. I started noticing my back was stiff and then my shoulders started getting stiff. Some nights I could barely sleep because my shoulders ached so bad. For the last few weeks my wrists have been sore and one knuckle has been very tender. I've noticed my hands get tired a lot faster when doing things like playing piano or using my ipod. I've not noticed any swelling though. About once a month I will spike a fever over 100 for a day or two and then I will be fine. I've been tested for thyroid problems so now I'm wondering if it could be ra.
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Answers (2)
V, Health Guide
12/18/11 8:36pm

Hello, Phoenix,

 

I would suggest you make an appointment with your PCP and see what he/she has to say.  Your doc may very well run a few blood tests referred to as an arhtritis panel.  There are a lot of different types of autoimmune disease...RA, Lupus, PsA, etc.  If your doctor thinks you may have an autoimmune disease, you should be referred to a rheumatologist.  Please make an appointment with your doctor.  We would love for you to stay in touch and let us know how you are doing.  Best wishes to you, Phoenix.

 

Peace,

V

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Lisa Emrich, Health Guide
12/25/11 9:44pm

Hi Phoenix,

As you likely know, RA can develop at any age.  Hopefully you are under the care of a really good primary care doctor who is prescribing the steroids for your hives.  Definitely discuss the joint pain and stiffness you are experiencing.  Like V said, a series of blood tests will likely be ordered.  The results of these tests do not prove RA or disprove it, but they will definitely provide some information which may be useful to the rheumatologist when you do consult with one.  Perhaps you could ask for a recommendation for a rheumatologist from your primary care doctor which would provide a good opportunity to discuss your concerns.  Good luck and I hope that you begin to feel much better soon.

Lisa

 

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By Phoenix690— Last Modified: 12/25/11, First Published: 12/18/11