Rheumy is sure I have Ankylosing Spondylitis and not PMR
Posted , 8 users are following.
0 likes, 6 replies
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Notes on Rheumy is sure I have Ankylosing Spondylitis and not PMR
mary19068 elizabeth40672
Posted
Have you been tested for Human Leukocyte Antigen (HLA-B27) associated with AS., although not everyone who has AS presents with this gene....
EileenH mary19068
Posted
Or more to the point maybe - having the gene doesn't mean you have AS, there is a variety of options:
Diseases associated with HLA B27
• Ankylosing spondylitis
• Reactive arthritis (follows infection with species of Chlamydia,
Campylobacter, Salmonella, Shigella and Yersinia)
• Sacroileitis associated with psoriasis
• Sacroileitis associated with inflammatory bowel disease
• Undifferentiated oligoarthropathy
• Anterior uveitis
• Aortic regurgitation together with cardiac conduction abnormality
• Enthesis-related juvenile idiopathic arthritis
elizabeth40672 mary19068
Posted
Hi Mary, no I haven't. I will ask the doctor about it when I see her next. Thanks!
EileenH elizabeth40672
Posted
I would try it - he obviously has seen something on the MRI suggesting this may be the early stages of AS.
A very basic question (or two): is your back pain worse at night, 1-2am for example, and does Naproxen help your pain at all? Though if the AS is presenting with the soft-tissue aspects early on then they may not be so significant. There are other spondyloarthropathies besides AS that affect different bits differently.
I know a few people who were originally given dx's of PMR but had problems reducing the pred dose - but have done brilliantly on anti-TNF drugs.
elizabeth40672 EileenH
Posted
Hi Eileen, no back pain is not worse during the night. They seem to be going on a lot about my lower back but when this kicked off I had no lower back pain and still don't. However, I have suffered from lower back pain on and off from the age of 20 but just put it down to bad lifting. I currently wake up a little stiff in the morning but that is about it. Naproxen did not help at all.
EileenH elizabeth40672
Posted