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Hi,
 
My name is Pam. I have an 11 year old boy that I believe to have an autoimmune disease, but feel like everytime I'm getting close to some answers I hit a brick wall.

I am 44 years old and was suspected of having Lupus in my 20's. I had several symptoms (pericarditis, reynauds, red hot rashon cheeks, pleuritis and adult onset asthma) but no positive ANA. When I had my son in 1993 most of my problems seemed to vanish except for the asthma and occasional pleuritis when I get really run down.

My son at age 2 became very sick with a high fever and swollen neck. The fever lasted for about 8 days. He was really very sick, there was talk of hospitalizing him but the Dr we had at that time just kept in very close contact with me. He suspected it to be Mono. A blood test came back  negative, but we were told that sometimes this happens under age 3 and that he still thought it to be mono or a "mono-like virus". Ever since, my son has had a series of problems that scream to me autoimmune. Our Dr's have changed so may times due to my husbands work changing insurances that in the beginning it seems he was seen for different things by different Dr's. I wonder if we had been with the same Dr from the beginning if we would have had a diagnosis by now.

When Oscar was around 3 after the innitial illness, he woke up one morning with a swollen, painful ankle and could not walk on it. x-rays showed nothing and we were sent on our way. He soon after developed a lump in his wrist that was there for several months then went away. He had unexplained  rashes and fevers all the time and continues to have frequent fevers. When he was 8 years old he had iritis and a positive ANA. The Ophthalmologist felt sure this was JRA related. His joints do ache at times usually knees, ankles and neck though this seemed to be happening less and less over time his knees have just recently started aching again. He has been diagnosed with Asthma this past year, and I forgot to mention he also gets that BRIGHT red hot rash across his cheeks.  Another Dr told me she felt there was something going on but that it was mild and below the diagnostic level and that we may never get an exact diagnosis.

Finally last year I got a referral to a pediatric rheumatologist and I thought finally I will get some answers. He did another ANA (Oscar was feeling good at the moment) and it came back "borderline". He told me that although Oscar had a very interesting history, her was certain it was not JRA or Lupus. I asked him if all these other problems were coinsidental and he did not answer me. I asked if it could be JRA, Lupus, or some other Autoimmune disease that as the other Dr said was below diagnostic level. His reply was yes (URRR how could he have just told me with certainty that it was not) and it could go on for many years like this or he may grow out of it. I am thankful that it is mild and that Oscar is a happy, fun loving child,  but frustrated to be made to feel like I'm making something of nothing.

I now have been having joint pain, it started a couple of months ago
in my hips (very stiff and achy all the time) and is now in every joint
at different time, but my hip stiffness and pain has remained constant.
I am tired all the time, when I get up in the morning all I can think of
is bedtime.  I take naps which I have never done. My asthma is back in action too. I saw my family Dr who suspects RA and the Blood test did show a slightly elevated RF. I will now be referred to a Rheumatologist,if my great ins
 
Anyway thanks for listening I  happened upon this forum as I was
researching and you all seemed like friends.
 
 

Pam,

Sorry to hear about your troubles.  It has frightened me to learn that medicine is NOT an exact science -- it often seems like they have to just make "educated guesses" and judgment calls.  Obviously something is wrong, so don't give up.  It really helps if you can find a doctor who will really listen because you know yourself and you know your child better than anyone.  Good luck to you!

Hi Pam,

I wish you luck finding some help for yourself and your son.  My grandmother had RA, I have RA, and my daughter often complains of joint aches.  I've had her tested a few times, but results always came back negative.  I just keep taking her in, keep arguing with the doctors, etc.  One of these times, I'll run across one that will listen.  I'll just keep trying.

Cris

 

Pam,

I have not had all the problems you desribed your son has had; however, we do have one thing in common from my childhood, aching knees.  When I was about four, I starting having deep intense aching in my knees.  It was so severe that I would cry but I never had any swelling or redness.  My mother took me to a doctor and he said I had growing pains.

Unfortunately, no one ever really did any testing and by the time I was in high school, I also had the aching in my shoulders.  It never kept me from doing anything but it was very uncomfortable.  In my early thirties, I was diagnosed with hypothyroidism.  It took two years to get that diagnosis and I was miserable the entire time.  In fact, I truly believed that I was terminal (as dramatic as that may sound) and that no one wanted to help me.  After a change in insurance and change in doctor, we finally figured out that I was hypothyroid.  Because my doctor couldn't control the hypothyroidism, I was sent to and endo.  The other problem that coinsided with the hypothyroidism was aching in all my joints; it had spread and intensified. 

The reason I am telling you this is because now in my fourties, I am being told that I probably had JRA when I was a kid, a mild case but painful all the same.  Hang in there with your son.  Hopefully he won't wait for what seemed like a life time to find out that he had a problem. 

I have been very fortunate because even though my problem has spread, I still have a mild case, no swelling, no redness, no positive RH factor; however, my rheumatologist is very firm in is belief that I need to be treated for RA.   Hang in there and good luck. 

It is so nice to have a place to go and compare notes with others who suffer from the same disease.  It has been so frustrating to feel like something is wrong and not have anyone validate that belief.  Believe me, I even volunteered for a psych eval just to try to get someone to believe me.  Good luck!

 

 

Thankyou all for your kindness.  I have read so many personal stories now, and I have to say it is sad to see the percentage of people that are treated like there is nothing wrong with them prior to finding out they have RA.  It would seem that a Rheumatologist would be more apt to say that what your experiencing could be the beginning stages of RA, we'll watch you closely and see how things progress.I just don't get it.

Cristene, I actually had read your post earlier and had planned to reply as I noticed the simularities to Oscar's problem.  I don't think everyone gets redness, heat and swelling with the pain from RA. My cousin who is now in his 50's was diagnosed with RA in his 40's. They think now that he too has had it since early teenhood and went undiagnosed until it bacame so bad as an adult. Also my father's cousin died at age 7 from Spondalitis (spelling ?).

Oscar too has cried from the pain in his knees, I'm so sorry for all you've been through. Even when this is mild it seems to take it's toll. It's sad to read all the personal stories, but at the same time itfeels good to know that we're not alone and have friends out there that understand. I have to say, I am frustrated, but I won't give up.  I truly believe that what Oscar has is JRA.  I do not believe it is below diagnostic levels.  I think the positive ANA coupled with the Iritis was enough with everything else (symptoms and family history) to get a diagnosis.  So I will persist.  His case is also mild and Motrin seems to do the trick.  He misses lots of school because of the fevers.  I am mostly worried about the damage that is possibly ocurring and not being monitored.

Well again, thanks so much, I hope your sleep is restful tonight.

Pam

Pam,
Hi.  I am Wayney.  I was dx'ed at 7 (geez that was 21 years ago) with JRA.  mine was and still is sero-negative.  no positive ana, no positive rheumatoid factor. always been that way.  i don't get the redness or swelling that is visible.  i was dx'ed with "growing pains" but my mom did not believe that was all it was.  I began waking up at night screaming with leg pain.  then i had a trigger finger. and i developed a cyst on the back of my hand.  it was squishy and eventually travelled to my wrist and then disappeared.  as for fevers...my normal temp ran 99.9 until after i got pregnant with my son.  now it is 97 something.  i too get the rash on my cheeks.  in fact prior to my fibro dx the dr wanted to rule out lupus because of that.  always had it.
you are right to be concerned and push for treatment etc.  especially about the possibility of damage due to lack of treatment.  i was dx'ed when aggressive treatment for kids was only when it was clearly severe from the begining. so needless to say, i have damage that might have been prevented.  and i am seeing signs in my 3 year old. but at the time, i am documenting what is happening, giving him aspirin (ibuprofen makes him really hyper) and helping him through it.  he only complains very infrequently compared to how he complained this winter.  his docs seem to think he is mimicing me and that i am paranoid and putting my symptoms on him.  whatever.

http://www.niams.nih.gov/hi/topics/juvenile_arthritis/juva rthr.htm
There is an especially interesting part where it comments on how ANA is found more often than RF and that both are present only in a small percentage of kids with JRA.
Wayney

Hi Wayney,

Wow, thanks for the reply.   Your history sounds alot like Oscar's. I have read somewhere too about the RF usually being neg in children.  When Oscar had the Iritis and they dicided to do the blood test, his reg pediatrician assured me that she was well equipped to handle whatever was going on.  When the blood test came back she told me there was no way he could have JRA as the RF was  negative.  So I started researching and found that in children it is almost always negative.  I should not have been surprised though, this was the same office that told me his Iritis was just an allergy. Scary, huh? I think Sandy from the first reply was right.  We know our children better than anyone and you've got to listen to  your instincts.  I believe that if a 3 yr old is mimicing you, he's going to mimic the heck out of you (not just now and then).  Thanks, I will check out that info you mentioned.

Take care, and have a great Sunday! 

Pam

I just had another thought.  The ACR has a listing of rheumatologists that you can search by speciality.  If your insurance is not an HMO and your are free to tkae Oscar where you want...I'd take him to a rheumy that is specifically a pediatric one. Unless when you meet the rheumy you are going to see they feel comfortable with treating kids.  I know some who will and some who just don't feel they need to.  I was lucky to be seen at a children's hospital.  I'm not sure where you are from but if you are in Indiana, Riley is the best.  (Just my opinion!)
Sandy is right, we do know ourselves and our kids better than anyone.  I'm just holding off so that I can arm my husband with instances rather than just saying tot he doc, he's been complaining.  I'm docmuenting it as best I can.  Then hubby will handle the first appointment not me that way there are no paranoid comments from the doc. 

Hope you have a great day.
wayney

Have you or your son ever been tested to see if you carry the HLA-B27 genetic marker? Its a blood test. That can open more possibilities of what might be the problem. There is a group of arthritis that is called the sero-negative spondylarthropies. PA and some other autoimmune disorders are included here. This gene is passed down through the generations. In my family everyone who has had this gene has some kind of autoimmune disorder.

Barb   

Hi Barb 

No, I don't think either one of us has had that test. when I get my

rheumatologist apt I will remember to ask about that. It would be

interesting to know as my family too has alot going on.

Thanks for the well wishes, I'm glad to have stumbled upon you all.

We'll keep you posted,

Pam

Hi all,

Oscar's knees have been bothering him alot lately and last night it was really bad stabbing pains both knees, one felt warm, but no swelling. We kept him home today and called the Dr.  His regular Dr was not in and as I did'nt want to wait until next week I accepted an apt with another Dr in this group.  Well first of all I must be getting really old because this guy looked like he was about 14 years old.  He walked into the room with a terrible attitude and asked Oscar if he had injured his knees.  When I started to speak he put his had up and said I have read your sons chart, I know your history and concerns, and I can tell you right now that this is not JRA.  He started poking around Oscar's knees and pointing out that he had seen the blood work and that it did not support a finding of JRA (positive ANA, neg RF).  I said that is interesting since there are plenty of seronegative people with rheumatoid arthritis and that the ANA would suggest something is going on.  Then he said that it was not likely because no other joints were bothering him.  I said his neck has been hurting.  He said neck pain is never RA related I said yes, it sometimes is...he replied rarely. Wow, I have come up against some abrasive Dr's but this guy was so angry from the getgo.  I don't know what Dr's get so upset about when someone feels they might know what's going on with themselves or  their child.  It's like they want to prove your wrong because they're the one that went to school.  I can't even remember everything in the order in which it happened, I'm still just livid.  At one point he said I don't think this warrents ordering up a battery of tests and I said I did'nt ask for that, I'd just like to have somebody who'll listen. He said he was listening, but nope he sure was'nt.  I told him I had decided to just go out of network and see a Rheumatologist.... this is when his attitude suddenly changed. I told him my husband's patient(my husband is an optician, I did'nt tell him that

Sorry, I feel better now. That was just a bit of what went on, but you get the just of it, I'm sure.

Neasy, I'm so sorry you had such an awful day....you are always such a bright light here, I'm sad to know your down.  Better soak in the tub and go to bed early, the sooner this days over the better!Tomorrow's a new day and I hope yours is really great!! Let's compare notes tomorrow, I'm sure it's gotta be better.

Thanks for listening,

Pam

 

Oh my gosh Pam, I am so sorry to hear about that jerk doctor! So what are your plans now? To take Oscar to the rheumatologist you mentioned???? Keep us updated!!!

I know the pain of having a sick child and going through the testing. my 6-year-old has just gone through some cardiac testing and it has been stressful. I have a heart condition as well and hate to think of anything wrong with him.

My heart goes out to you my dear.

Love, Juliah

Hi Juliah,

Thanks, yes, what a jerk. We do plan to take him to the Dr I mentioned. It will be very costly, but we know we'll be listened to and well taken care of.

I'm sorry that your having to go through testing your son for a heart condition.   I can truly relate as my stepdaughter now 18, had open-heart surgery at 10 years old.  It was the most stressful time of my life and I know how scary and emotionally draining it is to wonder if something is wrong. She had the surgery to repair a hole in her heart and is just fine, the only problem she has now is the  phone seems to be stuck to her ear

I will keep you and your family in my thoughts and prayers are with you and your family. I'll watch for your posts.

take care, be strong,

love,

Pam

 

   

 

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