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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Joint Pain, Rib Pain, Feeling Cold, Troubled Sleep, Lactose Intolerant. Diagnosed Asthralgia. Is It RA?

My daughter is 16, she has joint pains all over her body even her ribs made worse when she is cold - she has trouble sleeping due to the pain, her RF factor is over 200, but there is no joint damage she has good flexibiliy, joints do swell but only her wrist is consistantly swollen. She is more stiff in the mornings. If she excercises too much she would suffer for days. She suffers with headaches, is moody. She is lactose intolerant. Her periods are irregular and heavy. The doctors seem confused and have not linked any of the symptoms. RA is possible but the doctors are unsure and she is on pain relief for now. The RA Consultant has dianosed arthralgia/myalgia and positive RF and has referred her to have her muscles checked out. She has had an auto-immune screen and Beta 2 glycoproteins have been negative
Mon, 13 May 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,
the generalized body pains , and joint pains especially being symmetric are suspicious of rheumatoid arthritis. This is further supported by the highly positive titres of the rheumatoid factor levels. Other investigations like X rays of joints to check for demineralization and levels of C reactive protein coupled with an Erythrocyte Sedimentation rate might be very useful in checking for the degree of inflammation. A complete blood count, HLA27 and ANA antibodies could be useful in screening for other autoimmune inflammatory conditions that could present in this same manner.
I suggest you book an appointment with rheumatologist first for a complete clinical and paraclinical assessment.
Thanks and best regards,
Luchuo, MD.
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Joint Pain, Rib Pain, Feeling Cold, Troubled Sleep, Lactose Intolerant. Diagnosed Asthralgia. Is It RA?

Hi and thanks for the query, the generalized body pains , and joint pains especially being symmetric are suspicious of rheumatoid arthritis. This is further supported by the highly positive titres of the rheumatoid factor levels. Other investigations like X rays of joints to check for demineralization and levels of C reactive protein coupled with an Erythrocyte Sedimentation rate might be very useful in checking for the degree of inflammation. A complete blood count, HLA27 and ANA antibodies could be useful in screening for other autoimmune inflammatory conditions that could present in this same manner. I suggest you book an appointment with rheumatologist first for a complete clinical and paraclinical assessment. Thanks and best regards, Luchuo, MD.