All our previous mis-diagnoses | Arthritis Information

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Some notes on the board today about our diagnoses with RA, FM, etc.  Got me thinking about all the mis-diagnoses I had before they finally settled on RA.  I too felt like my dr. must think I was a hypochondriac, but I they were all real to me so hauled my hinny into see my dr. every time.

So here's my list of symptoms and mis-diagnoses, what's on your list?

*  painful big toe and feet (fallen arches ... gee, I was only 34, that shoulda been a hint it might have been something else)
*  swollen lymph nodes (no diagnosis, but "gee that just happens sometimes")
*  years and years and years of lower back pain (ankalosying spondolitis ... but we just suspect it from anecdotal evidence and disregard the positive RF test result ... after all 20% of positives don't mean RA)
*  pain in wrist (suspect carpal tunnel, but negative on nerve conduction tests, so not that so no answer)
*  hot, swollen knuckle (gee, even though we know you are RF positive, it must be tendinitis because its not symmetrical)
*  pain in neck and shoulders (muscle strain)
*  years of exhaustion (blood tests, but no answer)
*  stiff, sore knees after sitting for hours at work or at a movie (normal aging ... again, I was in my early 30s)

Diagnosis of RA finally came after being barely able to walk on my tender tootsies and a hand that was swollen-up so fast that within a couple of hours I couldn't  use it.

Anywho, it's amazing hindsight really is 20/20.  I don't blame my docs for the misdiagnoses as RA looks like so many other things.  Just nice to look back and think every trip to the dr. was a worthwhile trip.

What's on your list?
Joy2008-03-24 15:56:42When my initial symptoms (pain, swelling in small joints of hands and feet, feeling of malaise) did not resolve after a few months of NSAIDs and a couple of Medrol dosepaks, my regular doc shrugged his shoulders and said I should go see a rheumatologist.  The rheumatologist diagnosed RA on the first visit, even before labwork and xrays.  All labs came back negative; an MRI a year ago during a flare showed inflammation and swelling but no damage. I was pretty lucky. I had a number of years in middle and high school where the dr.'s kept saying "something inflammatory". When in college I ended up being diagnosed on my second visit the the RD. My first was the bloodwork/Xray visit. Apparantly my feet where the give away. I had been playing rugby and I had just finished complaining to my roommate that my cleats didn't fit. It was like they shrank overnight. Turns out my feet were super swollen. I knew something was wrong. Morning classes were incredibly painful to get too. I think I would have been dianosed sooner if I hadn't been playing sports all growing up. I always had something swollen or inflammed. I did have an athletic trainer in college say that my inflammation didn't match my injury.

I really feel for people who play the diagnosis waiting game. I can see how you would start to feel like it was in your head. Frustrating....Mine was always depression and faking verifiable symptoms to get pain killiers.  Mine came on so sudden and severe it only took a couple of weeks. After ruling out the Lyme's, Lupus, Parvo, etc.. the RF factor stayed negative but I had very high sed rate, and extremely high levels of inflammation. Then it finally showed positive and I was swelled up like Shrek with joints so painful & hot they sweat.

 
I guess it was a blessing in disguise because I got DMARDS almost immediately.

my first visit the doctor I received a diagnosis of possible lupus probable RA.  RA it was

 

Thanks for all the responses.  It really is interesting to see how different RA is for each of us. And it's really great that so many get such quick diagnoses.
Joy2008-03-24 17:06:32One more thing... my RA is pretty mild compared to most here, and for that I am eternally grateful.  Even if I have a nasty flare, a simple medrol dosepak can break the pain in a couple of days. I still get a laugh every time I went to the orthopedic doc complaining about my knee. Couldn't be bothered. Less than a week later I was trying to exit the bus and couldn't straighten my leg. I had othro on it shortly thereafter.

I still don't have a diagnosis for anything other than arthralgia and possibly a herniated disc; here's what I do have
Morning stiffness that lasts all day.
Hands, wrists, elbows, knees, hips, lower back, neck and shoulders in varying degrees of pain with and without movement and in inexplicable variations much of the time.
A nodule like bump on one big toe and redness on another toe joint, some of my toes look a bit crooked. I wear supports in my shoes--dead duck without--my arches have hit bottom.
Feet, ankles that swell on a regular basis. Mostly pain free but my feet and ankles are starting to get grouchy.
I don't seem to have any redness or swelling otherwise. My bloodwork is negative.
I can't stand for any length of time and couldn't get out of bed last week.
I feel pretty crummy about half the time.
Must be in my head.
Mine is too, JR.  Even though it took years to progress to the point they could diagnose it, I have no damage and it has been fairly manageable on the basic DMARDs.  I'm very grateful too.   Ya mab52, that sure sounds like RA.  Do you have an appointment with a rheumy lined up? to make a decades long story short:  I had single joint JRA at age 10, I always "thought" the pains in my knees all these years were similar.. I didn't have any flares til recently except once about 15 years ago in April when I couldn't get out of bed and everything hurt and was swollen.  The doctor said it was a virus.  *rolleyesintobackofhead*
 
I self-medicated w/ Advil and ice and warm packs... until this past spring when I had a really big flare.  Couldn't walk except really small steps.  Felt like I was going to fall at times.  I hurt everywhere and was swollen from head to toe.  I felt like I was walking in waist deep water that was flowing against me.  (does that make sense?)  I had really overdone in the garden and I was paying ... heavily.... I had plantar fasciatis (SP?) and numbness/pins/needles in arms and legs, hands and feet.
 
Went to PCP who ran ANA, sed, RF, CBC, etc.  ANA was 16:40 and he thought something autoimmune.  I went to first RD, who said (again!!) it was viral.  But he re-did all the tests with all results negative.  He sent me to a neuro, who did tests and could not get a reflex in right knee (operated on to replace knee cap at age 12 from RA deterioration--year 1969) He sent me for nerve conduction studies to see about something pinched, carpel tunnel. All also negative.  Had two MRI's of spine, one with and one without contrast.  One of brain. All "ordinary" (love that term LOL)   Neuro prescibed Requip for Restless Leg Syndrome which helped me sleep.
 
Still, no one knew what was wrong..  Feel like a hypochrondriac much?... definitely!!
 
It took another flare in November when a new RD could see me immediately and he drew fluid to conclude the DX.  I felt extreme relief.  Because now we could address the issues. 
 
it's frustrating, as I know personally, and now read of all your trials too.
 
I guess, on many levels, I've had this disease for 40 years.  It has only just begun to really affect me throughout my body on a daily basis. 
 
 
 

I feel lucky about my condition too. My RD even commented that he can't believe how severe I was at my first visit (He was my 2nd opinion 7 weeks from onset) and how well I turned around. I believe it was a divine intervention myself.

My symptoms, some confuse doctors, i have dairy allergies, but this also happens without dairy, just lower lvl.
 
swelling of muscles, skin and blood vestles throughout my body.
swelling of jaw
swelling of joints on one side only in several spots, knees are only 2 that match.
bronchitis reactions
asthma
stomach digestion problems
bowel problems occasionally
weight loss problems (can't loose)
reactions to food that aren't allergies or inflam foods
medications don't work and some cause extra swelling
no morning stiffness ever, swelling 24/7
chemical allergy problems that cause swelling
 
That's off the top of my head.
justsaynomore -- wow, how horrible.  They wouldn't believe your pain and simply attributed it to drug-seeking?  That's just horrible -- to not only be disbelieved, but to be denied such necessary treatment.  I do hope you are feeling well deserved relief now.

babs -- you must have felt extreme relief in November to finally get a real diagnosis.  Amazing how RA presents as so many other things -- not only muscle strains or stress, but as virus symptoms too.  Remarkabe how your JRA history wasn't fully considered in your flares.

wantobeRAfree -- wonderful to know that a really server onset can have such a dramatic turnaround.  Truly reason to be thankful. :)
Thanks bubbagump.  We're getting a good list of what RA can be!  The "no morning stiffness" one is interesting in that it contradicts the standard question the rheumies ask.  Important to know that you can have RA without the "standard" symptoms.

I forgot the add "weight loss" to my list.  I thought it was cutting down on carbs, but I think I can rack it up to RA.  Hmm, shoulda gone for that last 5 lbs before I was dx'd .... ;)
[QUOTE=Joy]Ya mab52, that sure sounds like RA.  Do you have an appointment with a rheumy lined up? [/QUOTE]

I've been to one twice, if anything shows up on the X-rays I will schedule a third. Otherwise, I might just have to see about faking being healthy enough to hold down a job. I can't afford much more time off.
                                             
 
          1.) Attention seeking neurotic teenager.
 
          2.) Lupus
 
          3.) Flat feet
 
  My sedrate and C-reacctive protein have never been elevated so it took 15 years of being treated like I was nuts before my rheumatoid factor came back positive and I was diagnosed with RA.

Assuming my Fibro and RA diagnoses are correct (!) then I was fortunate enough to have them from the start.  My rheumy diagnosed the Fibro within 2 visits, but when I started getting other symptoms years later, it took longer on the RA.  In part because we had to determine that it was not just the Fibro and in part because my rheumy is especially thorough, so the RA diagnosis took almost 9 months to confirm.

Well, over the last two years I have been diagnosed with:

1) Glandular Fever or infection
2) CFS (60% of people who are diagnosed with CFS go on to develop RA within 2 years)
3) Fibromyalgia
4) When I was not getting better and still complaining of being sick - depression manifesting as unconscious malingering for sympathy. That did not explain the fact that I was urinating blood! I quickly fired that doctor!
5) A UTI (false positive)
6) I kid you not - a narrow urethra! And with my big old ovarian cysts, that apparently "explains" the level of white blood cells in my urine.
7) Localised nerve damage/carpal tunnel syndrome
8) Sciatica
9) Spondilyathripathy

10) and finally... a correct diagnosis of RA. _popupControl(); Joy - it's because I was disclosing to all my physicians in my opening paperwork that I am a recovering alcoholic.  You immediately get branded as a "druggie".  My advice now is not to mention it until you get a diagnosis, which is so stupid and potentially dangerous it's stupid, but it was finally how I got the proper testing.  Afterwards, I would tell them for medication purposes.  If I didn't have the chart notes, the letters, and my husband as backup, no one would believe me.  I had two separate doctors who would come in and say things like "how's my favorite drunk today?" or "too bad I can't tell you to go home and have a drink to get that pain to go away".  I was smart to always have my husband accompany me.  I blew through 42 doctors pretty fast.  And I know now I drank because of the pain.  I also quit on my own 17 years ago.  I could kick myself for even telling them.  justsaynoemore2008-03-25 03:52:29Well, my current diagnosis is still not written in stone, but it does seem to be the cause of my problems.  It started several years ago with chronic arm pain that the doctors thought was being caused by the degenerative disc disease in my cervical spine.  That may have been part of the problem, but when the leg started to be affected as well as the left side of my face, they kept thinking MS.  I also lost the hearing in my left ear during that time but no one made the connection.  It wasn't until I was referred to a wonderful neurologist at Wake Forest that I finally got some answers. She was supposed to rule out MS (again) but she asked many questions and did blood work.  No one had done blood work before.  The positive results were the beginning of the treatment I now have and which helps with many of my symptoms.
 
I guess I can't blame the other doctors too much, although earlier blood work would have been a good idea.  This disease is so very confusing and presents itself in so many odd ways, as this thread has pointed out so well.   
justsaynoemore, congrats on your recovery. My sis has been sober 19 yrs and my brother for 6 yrs. It's quite an accompishment.
 
My first RD said I had thorasic outlet syndrome (hands)
 
Then Ortho told me I needed lateral release (for my knee).
 
Second Ortho told me I had OA in knees. (I assumed it was that in my knuckles too, because one hurt like hell)
 
Knuckle hurt so much I went to GP for xrays, he did blood and found RF and eleveated SED.
I went to RD again and he said it was Thorasic Outlet syndrome again and my knees were hurting because I'm double jointed, and I needed to strengthen them. He told me I look fine! (could have strangled the man)
 
I finally found a great RD who determined I have Fibro and RA.
 

Hi, I'm new!  Thrilled to find this board. :)

This is my kind of thread.  Let's see...
 
1999-present: flare in right foot (on and off)
 
1. stress fracture
2. tendonitis
3. gout
4. CRPS/RPS
 
2000-2003: Recovering from "mono"
1. Chronic Fatigue Syndrome
2. Depression
 
2007: fatigue
1. Strep throat
2. Depression
 
2008: Huge flare in right wrist
1. Tendonitis
2. Inflammatory Arthritis
 
Still dx as serionegative inflammatory arthritis, but specialist at Vandy says he thinks it is becoming RA. I have pain in my knees, ankles, and right knuckles as well, although none as severe as my right wrist.
 
The ironic thing is that I've been going to doctors to years, to try to figure all this out (more than I listed).  I would burst into tears in frustruation, and inevitably be asked whether I wanted antidepressants.  But I really wasn't depressed, I just cry easily!
 
Well, now that the RA seems to be taking hold, I actually am depressed!  But Lexapro has been working well.  I can tell when I'm really depressed, and I hate that doctors don't trust that, and would tell me all my fatigue was from depression!
Heeeeeeeeeeyyyyyyyyyyyyyyyyyyyyyyyyyyyyyy


I'm a Katie G too!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Hi! :) 
I was going to be "Katie" and I thought, no, I need to put an initial on too, just in case.  Oh well!  My last name is Giannasi, so I'm going to be that's not your last name too. :)
 
I have a quick question...and since you are dx JRA, I will ask you, if that is okay!  Looking back, my symptoms started when I was 21 (foot), maybe earlier.  So is that RA for sure, or JRA?  Thanks!
Wow, what nationality is Giannasi?? I can't figure it out. Mine's Groth, it's german..but at some point it was butchered and shortened so who knows what it really was to start with!




To answer you, that's RA. I think for JRA you have to be under 16? I could be wrong. I was dxed when I was about 2ish.
You sound like you have what i have. And oh my. My swollen ankles dx as maybe phlabitis or unknown. Swollen knees must be swelling from lower back as i had buldged disk. Carpul tunnel and sprains dx for wrist and hands and elbows. For upper T spine and shoulder swelling must be OA combined with ware and tear and oh yes birth defect as i have a nodual or smores node. That does not cause swelling. Barrettes esophogus scince young age, very rare doctor stumped. Vertigo temporary hearing loss, chronic imflamation of ear drums for years. Do not know but it is something else dx. Imflamatory bowel disease dx. Asthma. Feet and toes well now the lady is just being a pain. Hips that have been swelling scince i was 19 and snap crackle popping all they way. Well your lower back and buldged disk. Yes but the disk did not buldge till just before my fortyth birthday so get real. How can a problem you have had for twenty years be caused by newly buldged disk? Oh you have fibro!! This is why you can not lift either arm for three months. Foot drop. Fibro. And of course non compliance as i took the fibro meds for years with of course no relief and complained i was to tired. Hypochondriac with depression that must be it. Skin problems and noduals. Old age dx. Loss of menses at 39 coupled with raised liver enzyems. Maybe a mistake at the lab? All of the above at the same time. Plus had my gallbladder removed and a huge ganglion cyst on knee and and cyst in breast all at the same time. And the room was spinning and i was sweating and fatigued. Lets change your high cholesterol meds maybe it is carbon monoxide piosoning. Black sout came out of my heater as a tornado a few months prior had flung a brick into the heater. Alright what about the last twentyfive thirty years? Picky lady wants to know everything. It is stress thats what it is. Alright so that is when my blood work showed nothing.
    So then i get the bloodwork to confirm. Have so obvious Sjorgrens. Can not wake up for months. Took me six months to covince someone this is not something new. Ha, ha. Fibro dx is out the window. As i have some serious condition of the muscles that make them swell. As well as RA stiffness made worse by asthma meds. But yes besides all of my joints swelling my muscles are swelling and thats not fibro. How do i put this. When my joints swell so does everything else and it makes me look a bit heavier. As my thighs and calfs swell when my ankles and knees swell. You can still see the joint swelling and my muscles look like i am a super wieght lifter. Really when i am not swelled i have no muscle tone left. Something has eaten away my muscles over the years. Fibro i do not think would have done that. So what my family and myself see happen over night is a big deal to us. It actually makes me look healthier to other people. So even with an anti-ccp of 100 and positive rf i had to be good and swollen and not responding to prednisone and got taken seriously my secound RD appt not my first. Long drawn out sogga. Sigh of relief some one cares that i am loosing all of my muscle tone.
Yeah JRA you are dx before 16. I was dx at 10, but had symptoms for a long time. For three years they said the pain was because I was, double jointed, depressed, hypocondriac (SP???), Faking it!, over weight (I was over weight as a kid probably from not wanting to move because of the pain dah!), OA (yes at ten they thought I had OA), SA, and then finally JRA, and about six months later Fibro. I had one of the 6 rhummys i have had say that my double jointed fingers and elbow made me more prone to ra too.  I think she is full of hogwash.It's Italian!  My husband is Italian though, not me.  I'm mainly Scottish, Irish & German.  My mother's maiden name was Impink! I think it was originally Emping, and maybe more Dutch than German.
For years I was trying to piece together what was wrong with me, but RA was never on my radar, and I guess my bloodwork was always negative.  But it started in college, around 19, not as early as 16. Then you have just plain ol' nasty RA, my friend! LoL
 
 
IMPINK!! omg I would love that last name. I'd run around screaming I'm Pink! CONSTANTLY. I already own everything pink possible. LOL
Oh, no! Another Katie!! AGGGHHHH!! *attempts to run with hands waving in the air*
LOL
Just kidding! Welcome, welcome!
 
I started out with a tendinitis dx, but we weren't looking for RA. Hindsight lets me know that it was probably Arthur. I was diagnosed with RA once the labworks came back from my first visit with my PCP explaining my symptoms. 2 weeks later I was with the RD.
 
Hope y'all are having a superfantastic and extra-comfortable evening!
Yeah I have to apologize Katie, I may have ruined our name for us.
 
If at any time my reputation accidently preceeds YOU, please accept my apologies. And would you also mind kicking my reputation square in the butt and sending it home to me? I'm rather fond of it, as bad as it can be sometimes.

LOL
Here's my history:
1970- wrists and hands ache. Thought it was rheumatism just like my dad and grandmother so no visit to dr. "Rheumatism continues to act up.
 
1983- rash on face and neck, wrists and hands ache. Referred to an RD. Elevated SED, negative RF. Diagnosis uncertain... could be RA or lupus.  Three months later, rash is gone... diagnosis is RA.  
 
2000- new RD says I don't have RA because my hands don't look arthritic. Squeezes me in different places and says I have Fibro. I'm taken off the NSAIDs...but...why are my hands and wrists swollen? I struggle on for 6 years.
 
2005- diagnosed with Immune Thrombocytopenic Purpura (ITP) My platelets were at 4K, normal is 150K - 350K. Hematologist suspects the ITP could have been triggered by a virus.
Prescribed WinRho every 6 weeks to keep platelets elevated. My highest count so far has been 99K, but it doesn't last long... by week 3 my platelet count drops rapidy.
 
 
August 2006 - new family physician thinks the swollen wrists etc. are RA and refers me to another RD. Three months later, RD says it's RA, injects 3 joints. A week later I'm in worse shape & back to see my RD. The morning of my appt. I wake up to find I can't extend my arms and open my fists. It take ages to get moving. RD says she can't believe the change. She prescribes mtx + prednisone as a stop gap measure until mtx kicks in. Prednisone plays havoc with my stomach.
 
Feb 2007- MTX also causes GI problems. By June we move to injectible... I get a "bugs crawling" feeling all over my body after 1 injection. Definitely not pleasant.
 
June 2007, my RD's on holidays so I see my family physician who tells me to stop MTX immediately, and to stick with Tylenol and the low dose pred while I'm holidaying in California. Terrible attack of Acid reflux, 12 hours of pain so no more pred for me.
 
August 2007- I'm on Plaquenil.GI problems return.  Now I'm really frustrated so I stop taking the Plaquenil.
 
Sept. 2007-  Appt with RD.  I agree to try Plaquenil again, but this time I'll add a probiotic.
 
March 2008-  GI issues have improved + my hands and wrists look and feel much better. My hematologist + I have agreed that if I can maintain a count above 30K then I don't have to treat my ITP. It's now been 14 weeks since my last WinRho and I'm just starting to bruise heavily again. I think that my RA and ITP are linked.
 

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