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Diagnosis Of RA

A myRAteam Member asked a question 💭
Burlington, KY

I'm trying to piece together my RA diagnosis. I had a negative RF result. That should mean I don't have RA. Is that common?

August 12, 2020
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A myRAteam Member

I also had negative blood work, it is called seronegative RA, your doctor will use other means to diagnose your RA. Mine used xrays and mri. My joints were so messed up - she listed me as moderate to severe RA. I started on methotrexate which caused problems of me catching every darn bug out there. With COVID, we stopped taking it completely. Just started on hydroxychloriquine- no results yet( have been on about 3 weeks)- it usually will take at least 6 weeks to 4 months to start notice improvements.

August 12, 2020
A myRAteam Member

When my PCP ran bloodwork, it showed a positive ANA and clear signs of inflammation (in the blood, but not on the X-ray). She sent me to a rheumatologist. In between those 2 appts, another DR. (Telehealth) gave me an RX for dexathamosone. (Steroid). I took it, out of desperation. I couldn’t function, the pain was SO INTENSE. One week later, I went to my appt. They redid the bloodwork, adding a lot more tests. My results came back with the ANA negative, but the inflammation could clearly be FELT when he physically examined my hands. Plus many other factors. I was diagnosed with SERONEGATIVE RA.. Dr. said that it is not uncommon especially early on (onset was maybe late January, early Feb this year - 2020). I’ve had trouble with my hands for years (carpal, tendonitis) but this was a nightmare. He is treating it the same way as a positive ANA. They gave me Methotrexate. However, it has now been a few months. I’m up to 7 pills a week with no progress. I’m at my wits end. Ok, maybe a little progress. But it is very minimal. And it’s not getting any better. I am the one who needs to make the call, to advocate for myself. I’ve just had so much going on that has taken my focus away from my health, ...oiy. I wish you the best of luck and the moral of my response is: if you don’t understand: ASK. If you don’t like the answers: SAY SO. ASK FOR CLARIFICATION. It’s ok to say that you don’t agree, just be respectful so they will continue to listen to you. If you don’t feel that your condition is being handled appropriately, find another Dr. Good luck.

August 14, 2020
A myRAteam Member

I'm RA negative, the seropositivity option doesn't mean you don't have RA.

August 12, 2020
A myRAteam Member

@ ToniLynne: I hope you find something that starts working for you. It's funny. I know I have pain. I know something's causing it. I guess logically it makes sense it's RA. I'm just in denial. But I am taking my meds hoping they'll help. It all seems so drastic. And the danger of meds involved. And the awful side effects. Aaaargh. 😞

August 14, 2020
A myRAteam Member

Diagnosing rheumatoid arthritis (RA) involves several steps and criteria:

1. Physical Examination and Family History
- Examination of joints for signs of disease activity (swelling, nodules, redness, warmth, and symmetry).
- Assessment of symptoms like morning stiffness and mobility limitations.
- Inquiry about Show Full Answer

Diagnosing rheumatoid arthritis (RA) involves several steps and criteria:

1. Physical Examination and Family History:
- Examination of joints for signs of disease activity (swelling, nodules, redness, warmth, and symmetry).
- Assessment of symptoms like morning stiffness and mobility limitations.
- Inquiry about family medical history of RA or other autoimmune diseases.

2. Blood Tests:
- No single test is conclusive, but blood tests can provide important clues.
- Tests look for specific proteins (biomarkers) like anti-cyclic citrullinated peptide (anti-CCP), found in 60-70% of people with RA.

3. Imaging:
- X-rays, ultrasound, or MRI scans to check for joint damage and disease progression.
- Ultrasound and MRI can detect subtle joint damage for early diagnosis.

4. Classification Criteria:
- The American College of Rheumatology's criteria include joint assessment, symptom duration, and blood test results.
- A rheumatologist uses these criteria to diagnose "definite RA."

5. Differential Diagnosis:
- RA symptoms can mimic other conditions like lupus, psoriatic arthritis, gout, or osteoarthritis.
- A thorough medical history and symptom assessment help differentiate RA from these conditions.

6. Importance of Early Diagnosis:
- Early diagnosis and treatment are crucial to slow or stop disease progression, prevent serious disability, and maintain quality of life.

For more detailed information, you can refer to the resources provided by the American College of Rheumatology, Mayo Clinic, and other reputable organizations.

July 22, 2024

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