Quote:
Originally Posted by LaLaRose3
I was hoping for some info or advice on these, specifically lupus. My doctor said that she thinks it is Lupus more so than RA.
Thoughts or advice, anyone? I want to know what type of medicines I will be on and how treatment will go if I do get dx'ed at my next appointment.
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Sorry I couldn't respond last night. I thought of you all night and the things I wanted to tell you. I got my first symptoms of lupus in late 1999. Mine started with horrible joint pain too. Mine was in my toes. My big toes were so swollen and sore that I could hardly walk.
They started doing tests on me, and it actually took a whole year to be diagnosed officially. Doctors used to go by a list of 11 criteria in order to diagnose. You had to have 4 of the things in order to get a diagnosis. I heard they changed this a little recently and made it more general. Anyway, here's the list of 11. See if you have any of these.
The “Eleven Criteria”
1. Malar rash: butterfly-shaped rash across cheeks and nose
2. Discoid (skin) rash: raised red patches
3. Photosensitivity: skin rash as result of unusual reaction to sunlight
4. Mouth or nose ulcers: usually painless
5. Arthritis (nonerosive) in two or more joints, along with tenderness, swelling, or effusion. With nonerosive arthritis, the bones around joints don’t get destroyed.
6. Cardio-pulmonary involvement: inflammation of the lining around the heart (pericarditis) and/or lungs (pleuritis)
7. Neurologic disorder: seizures and/or psychosis
8. Renal (kidney) disorder: excessive protein in the urine, or cellular casts in the urine
9. Hematologic (blood) disorder: hemolytic anemia, low white blood cell count, or low platelet count
10. Immunologic disorder: antibodies to double stranded DNA, antibodies to Sm, or antibodies to cardiolipin
11. Antinuclear antibodies (ANA): a positive test in the absence of drugs known to induce it. A special note on the ANA test
One of the biggest things they look for is the positive ANA. Since you said you had blood work done, it sounds like maybe that was positive for you. The weird thing about these symptoms is that even if you have some of them, it might not be lupus. You have to have a bunch of them in order for them to decide it's lupus.
In case other people don't know, here's basically what lupus is. It's an autoimmune disease. Everybody has antibodies that help them fight infections. With lupus, your antibodies get "confused" and attack your healthy tissues. They can't tell the difference between the good and the bad.
As far as medications, I take daily an anti-inflammatory (for the joint pain) and Plaquenil which is an anti-malarial. They aren't sure why a medication made to treat malaria works on lupus patients, but it does. I used to take the Plaquenil twice a day, but now I'm down to once. You might also have to take rounds of steroids if things get bad.
It's a disease that comes and goes. They call them flares and remissions. When I got pregnant, I was doing pretty well with mine. Halfway through the pregnancy, my doctor said I'm currently in remission!

I'll take it while I can because being in a flare is ROUGH.
That being said, if it does turn out that you have it, you need to accept help from others. I remember at some of my bad points being so utterly exhausted down to the bone that it was an effort just to lift up my arm to take a drink. I think the sheer exhaustion and the joint pain are the worst.
Also, if you do have it, you have to avoid the sun. I'm sure you've noticed before how pale I am. That's because I never, ever go in the sun. Photosensitivity is a big symptom. When you go out in the sun, you can get a bad rash on your face and feel totally sick. It's something that's easy to adjust to though. You just learn to seek out shade and wear a hat when you can't.
Sorry this was sooooo long! If I think of anything else, I'll come back and add it. Please know that I'm thinking of you. I know how crappy you must feel right now. The good news is that once your doctors can figure out what exactly is wrong, there will be a way to treat the symptoms no matter if it's lupus or RA or something else. The medical field is amazing and has come far in recent years. There continues to be studies and research done all the time, and hopefully some day soon they will fine out what causes diseases like this and a cure will be not far behind!
Lots and lots of

. PM me anytime if you have questions or just need to vent. I've been there!