What could this be? Please help.... | Arthritis Information

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    On Jan 1, 2007 all of a sudden I started feeling very sick - I had fatigue, nausea, anorexia, insomnia and extreme shortness of breath (there was no wheezing, and my oxygen saturation levels were always 100%). I would also get these strange attacks in my chest where all of a sudden all the ribs muscles would go into a spasm and it would be hard to breath. After about a week of this I developed costochondritis. After two months of having costochondritis, the inflammation spread to every single other joint in my body (including the sacroiliac, jaw, neck, the ribs joints, achille's tendons, and my spine was affected in 3 places). None of my joints ever had any swelling, however the stiffness in my hands was so bad that I could barely hold a glass. The pain was unbearable and seemed like it wasn't only in my joints, but all around them too.

    I've seen two rheumatologists who cannot give me a diagnosis. I've been tested for lyme disease, rheumatoid factor, anti-CCP, ANA, ENA, HLA-b27 - it was all negative. Even my sedimentation rate never went over 16. Only my CRP was elevated - 24 at some point.

    I have not been able to work for the past year or do anything else really. It is only in the last two months that the systemic symptoms went away, however the pain stilll remains. It's not in the joints anymore but in the fibrous tissues surrounding them.

    Has anyone experienced anything like this? Should I expect this to ever go away? What could this be?maste2008-04-08 09:51:57Wow- I have no answers for you but I just wanted to wish you luck in securing a diagnosis really soon.Have you been checked for Fibromyalgia??Have you had your ACE levels checked and a chest x-ray?  I have sarcoidosis and your post sounds like something I could have written. I've had the ACE levels checked as well. They were normal.

Fibro is not supposed to be inflammatory in origin. My condition is clearly inflammatory as my CRP is raised and it responds well to steroids.
If your pain persists, I'd be looking at Fibro. It's possible that you have something inflammatory and Fibro as well. I'm sure you are thrilled at the prospect of having two illnesses at one time, but sometimes that's how it works. Let them do a work up for that. You didn't state your age, so I assume you are probably too young for PMR. Yeah, I'm too young for PMR, I'm 27.

What is the workup for Fibro, other than just looking for the trigger spots which I don't have, are there any blood tests that can be done for Fibro?

Maste, I'm not qualified to diagnose you, but I wanted to welcome you and say that I hope you get to the bottom of this quickly.  I know how worried you must be.  Sometimes it takes quite a while to get a diagnosis, so hang in there.  In the meantime, continue to post.  Someone here should be able to answer any of your questions.  Anything bring this on?

 
I'm the only person on the plantet that thinks Fibro IS AI.  On the depressing side, you could be sero-negative RA. 
 
Don't give up and hang on.  And please check out www.roadback.org for info about treating AI diseases (including Fibro) with antibiotics.
 
Hugs,
 
Pip
[QUOTE=maste]
What is the workup for Fibro, other than just looking for the trigger spots which I don't have, are there any blood tests that can be done for Fibro?

[/QUOTE]
Well if you know that none of the published trigger spots applied at 4kg will cause you pain, you probably will waste your time. Try it out on a scale. They don't just tap. Blood tests aren't usually part of a Fibro diagnosis.

FWIW costochondritis is usually cited with Fibro which is why I brought it up. And, thank you, now I know the name for what that pain was I had from all the coughing I did while on chemo.  I had never bothered to look it up till today. That was a pretty bad owie!
It could also be psoriatic arthritis as many like myself dont have the psoriasis with it.
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