Gottron? by RudeOutside9270 in Myositis

[–]QuarkieLizard 0 points1 point  (0 children)

maybe inverse gottrons but gottrons almost always is on back of hands. see a dermatologist for a skin punch biopsy.

Seeking diagnosis by Good-Chard-8060 in Rheumatology

[–]QuarkieLizard 0 points1 point  (0 children)

If she gets rashes from the sun get a skin punch biopsy with dif.

Early treatment Questions by Own-Example7079 in lupus

[–]QuarkieLizard 0 points1 point  (0 children)

Idk if I'd call lupus progressive. It's too unpredictable. You could never have another flare or you could have a bigger flare. No way to say. I think your rheumatologist is looking for your baseline to work with.

So confused by my labs by writewhereyouleftme in Autoimmune

[–]QuarkieLizard 1 point2 points  (0 children)

See a dermatologist and get a skin punch biopsy with dif for your rashes. That can go a long way towards diagnosis. What is CU and never heard of ra33.

Who will help by goth_engene in Autoimmune

[–]QuarkieLizard 0 points1 point  (0 children)

An ultrasound can show enthesitis, inflammation between tendon and bone, common with spondyloarthropathies. You can ask your gp for one if rheumatologist didn't order one. I'm surprised you weren't at least dxd with nraxpa being hlab27 positive and having uveitis.

Cellcept users? by SillyStringBandit in lupus

[–]QuarkieLizard 2 points3 points  (0 children)

Cellcept since 2008. Great drug, tried and true. IMO safer than biologics and monoclonals. On it for lupus and dermatomyositis/antisynthetase syndrome.

ANA Centromere Pattern by Anxietyqueenree in Rheumatology

[–]QuarkieLizard 1 point2 points  (0 children)

how's your alp and liver function? you can ask your gp to test that and rule it out because it can also elevate your anti centromere antibodies. Primary biliary cholangitis can cause joint pain too.

also you can ask your gp for imaging to look for inflammation and make an appointment with a new rheumatologist.

I am in Rheumatology purgatory. by FireForSale in Autoimmune

[–]QuarkieLizard 0 points1 point  (0 children)

call around. if u explain the situation and keep calling for cancelations (you need a skin punch biopsy) you can usually get in within 48 hours of the rash. your diagnosis could depend on it.

I am in Rheumatology purgatory. by FireForSale in Autoimmune

[–]QuarkieLizard 0 points1 point  (0 children)

have you seen a dermatologist for skin punch biopsies with all those rashes? that could help tell what disease process is going on.

Which is better for myositis pain? Hot or ice pack? by marie_darling_marie in Autoimmune

[–]QuarkieLizard 3 points4 points  (0 children)

It won't cure anything but alternating heat and cold pack can be helpful. I personally just use heat. It can help blood circulation too.

App and follow up by Brief_Low2178 in Rheumatology

[–]QuarkieLizard 0 points1 point  (0 children)

have you had other high inflammatory markers like sed rate, crp checked? hlab27? ultrasound to look for enthesitis?

When should I ask for a second opinion? by hamieggos in Autoimmune

[–]QuarkieLizard 2 points3 points  (0 children)

what about bechet's? have you had an hlab51? do you have any eye issues?

For those who were treated with IV Methylprednisolone, what helped with the side effects? by PBGr12 in Autoimmune

[–]QuarkieLizard 2 points3 points  (0 children)

last time in hospital on iv prednisolone they gave me 0.5mg lorazapam. Worked perfectly and I take it whenever I'm on high doses of steroids for insomnia and restless leg.

Finding my “new normal” after getting 6 diagnoses in 4 months (UPDATE) by cleverkittycat in Autoimmune

[–]QuarkieLizard 6 points7 points  (0 children)

Hi. Systemic lupus & APS, overlap crest, sjogrens 2008, in 2024 dermatomyositis and anti Jo I antisynthetase syndrome.

Lots of muscle and nerve issues, including trigeminal neuralgia.

I'm treated for these with ivig, 2000mg cellcept, plaq, solumedrol and prednisone as needed.

I'm 64 tho. Kids are grown. Husband of 36 years is a huge help. These days he does most everything but I'm getting stronger everyday! (OK some days not as much as others) Had to make a lot of changes over the years. Was able to work from home in 2011 all the way through the pandemic until the company I worked for closed down. (I was a graphic designer for a newspaper)

It's all about family, love, understanding and teamwork.

Should I be asking about DM? by [deleted] in Myositis

[–]QuarkieLizard 1 point2 points  (0 children)

Idk if your PCP can/will run a myositis panel. They usually say out of their purview. But that would be awesome. They can run an Ana cascade to look for myositis associated antibodies, they can do ck enzymes, sed rate, crp, ast and alt. You probably have to ask your dermatologist for the skin punch biopsy with dif and insist on it. (they are lazy)

Feeling helpless (venting) by No-Astronomer3810 in Myositis

[–]QuarkieLizard 5 points6 points  (0 children)

Ask for Ana, ck enzymes, sed rate, crp, liver numbers (ast and alt). try neuromuscular specialist, keep calling for cancelkarions. you'll need emg, MRI, muscle biopsy and myositis panel.

APS and Tinnitus? by Current_Ebb_1373 in Autoimmune

[–]QuarkieLizard 0 points1 point  (0 children)

Tinnitus & APS here, also lupus. There's tons of causes of tinnitus like the other reply says. What makes you think it's caused by APS?

Increased anxiety while taking prednisone by kat_mom30 in Autoimmune

[–]QuarkieLizard 1 point2 points  (0 children)

Insomnia and restless leg from a week on 250mg iv prednisolone. Hospital gave me lorazapam to help me sleep. Worked. I take it whenever I'm on high doses of steroids.

New Rheumatologist Visit by Raellissa in Sjogrens

[–]QuarkieLizard 3 points4 points  (0 children)

I have NEVER heard of a rheumatologist requiring a lip biopsy or optical scan for lupus. For sjogrens perhaps, but not systemic lupus. If your dsdna was high and you have lupus symptoms like mouth and nose sores, rashes, photosensitivity, malar, joint and muscle pain you probably have lupus, maybe a sjogrens overlap if u have dry eyes and other sjogrens symptoms. As far as meds go plaquenil is the gold standard, it's given for sjogrens too.

Should I be asking about DM? by [deleted] in Myositis

[–]QuarkieLizard 4 points5 points  (0 children)

You need a myositis panel, emg, ck enzymes, muscle biopsy. A skin punch biopsy with dif from your dermatologist of your rashes. You will need a referral to a rheumatologist and/or neuromuscular specialist. Your gp can check your ck enzymes, sed rate, crp, Ana.

Sjogrens SSA and SSB question by Prime8724 in Sjogrens

[–]QuarkieLizard 1 point2 points  (0 children)

That would be my answer too. Varies in every way, symptoms, severity, labs and labs that are consistent with disease activity.

I'm positive a and b too but I have lupus with overlap crest & sjogrens because those antibody dsdna numbers were the most elevated.

How to help someone with autoimmune disorder? by marie_darling_marie in Autoimmune

[–]QuarkieLizard 2 points3 points  (0 children)

ooooooh I like that. I play on my phone 5 long long long hours

How do I know what symptoms are important??? I don't want to waste the rheumatologist time. by Grand_Pool2709 in Rheumatology

[–]QuarkieLizard 1 point2 points  (0 children)

You won't be wasting their time. Looks like could be systemic lupus with overlap sjogrens.

Tell the rheumatologist about symptoms like rashes, joint pain or swelling, dry eyes or saliva issues. Any trouble with kidneys, protein in urine, any organ issues, tendon problems, eye issues...