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Understanding Seronegative Rheumatoid Arthritis: How It Mimics Other Arthritis Types
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- Опубликовано: 4 авг 2024
- Can you have rheumatoid arthritis and negative rheumatoid factor or anti-CCP antibodies? Yes, you can and we call it seronegative rheumatoid arthritis. However some patients might actually have undiagnosed psoriatic arthritis or another inflammatory arthritis.
#rheumatoidarthritis #diagnosis #psoriaticarthritis
If you are interested to learn more subscribe to my channel / @rheumatologistoncall
In this video, I will answer the following questions:
Chapters
0:00 Intro
1:38 question 1. What is Seronegative Rheumatoid arthritis?
4:44 question 2. Can seronegative RA mimic other types of arthritis?
7:53 question 3. Is seronegative RA more aggressive than seropositive RA?
8:46 question 4. Can seronegative RA become seropositive? and
9:23 question 5. Is the treatment different for seronegative RA?
Please share with others that might benefit from this knowledge.
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Please note - we do not provide medical advice, opinions or diagnosis via email, phone or social media messaging.We are seeing patients in multiple US states (currently 10 states). Please check our website to see if we are evaluating and treating patients in your state.
👩🏻⚕️ About me:
Dr Diana Girnita is a double board certified physician in rheumatology and internal medicine. She completed a PhD in immunology, a postdoctoral fellowship at Harvard University, immunology fellowship at University of Pittsburgh and rheumatology fellowship at University of Cincinnati. Dr. Girnita graduated from the Nutrition Science course from Stanford University and a Mindfulness course from The University of Massachusetts; She is the founder & CEO of Rheumatologist OnCall, a practice focused on broadening access to rheumatology and offering patients an integrative medicine approach.
Dr. Girnita teaches patients about autoimmune disease, arthritis and also helps them customized their treatment plans. Dr. Girnita is passionate about rheumatoid arthritis. The treatment plan is personalized to the patients needs and incorporates the proper nutrition, exercise and management of stress. After all,
"You have a disease, but YOU are not the disease"
* The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a medical consultation. Any comments and/or recommendations made in the comment section by anyone other than Rheumatologist OnCall does not reflect our opinion or recommendation.*
20 years ago I was told I was tested and had a zero RA factor. 7 years later I was nearly crippled and had to insist my doc send me to rheumatology. By then my RA factor was over 600. I was diagnosed with RA and palindromic arthritus. Never let a family doc tell you its fibro, bursitus, perimenopause, motherhood....
Thank you
Can u please tell me, I have all symptoms with normal RA factor and antibody test also , will I need to start treatment,but ortho doctors suggest me only vit d tablets and calcium tablets.please tell me
@@divyakutty6955 last 2 month's I am also confused ra, anti ccp, esr, crp negative, but feet pain and iflomation
@@xman54337 i consulted a rheumatologist and started on methotrexate weekly once with folic acid tablet next day,not completely ok,but i hope recovery for me and for all 👍please get daily sunlight and physical activity,which is really important and avoid refined foods
Your doctor name pls
I’m 40 and started suffering in the last two months. Swelling mostly in my wrists. I can’t do much. Even running a vacuum or scrubbing my bathtub sets me back. Before this, I was enjoying my diesel mechanic job and doing jiu jitsu. Now I’m covered in hives from head to toe and anytime I go off prednisone I swell up really bad and get even more hives. I have tested negative to everything. My rheumatologist is finally going to start trying medications but I’m so stressed out bc I haven’t been able to work. Thank you for your encouraging videos.
I'm so sorry to hear about what you're going through. Stay strong and keep pushing forward.
Thank you so much for this video. I suddenly started having symptoms of RA last year. I’ve seen several doctors at my surgery because that’s how it is these days and they’ve all had differing opinions, I’ve had several rounds of blood tests and X-rays that have all had negative results apart from the last one when they included the ANA test which came back positive.
The doctor said it’s nothing to be concerned about because 30% of the population test positive for no reason, I asked why do it then and he said that it’s only part of the picture so I mentioned that my sister in law has a type of arthritis that doesn’t show up in tests or X-rays but couldn’t remember the name, he’d never heard of anything like it, asked me to look it up and tell him when we next speak.
I feel validated after watching this video, my doctor said he will refer me to rheumatology which is probably the best place for me because I know my body and there’s something not right, I did have covid a month or two before this started and the doctor did say we could be looking at long covid though, I guess we’ll see but I hope for the best.
I live in Australia. In 1998 started having joint and muscle pain, was 42yrs old. Dr did tests and found I had a rh of 119, all other tests normal. Drs tried all the usual drugs, very little if any made any difference. I found the hotter the weather the better I was. Moved 3300klm north to a hotter climate and markedly better except in winter. Many Drs later was diagnosed with cryoglobulineamia type 3. Perfect match for my symptoms and rh is a clear marker for it. Also found complement C1q is very low. Still chasing the cause of of the Cryo as it is only a symptom not the cause.
I have seen numerous Rheumatologists, Immunologist etc all without luck. I am now 67 yrs old without a clear condition to treat/ cure. My condition seems to be triggered if I get cold....
I really want to thank you for you videos. While I’m waiting to see a rheumatologist, these have been helpful. Bless you.
Thank you 🙏🏻
Thank you for your video.
You are welcome
Thank you so much doctor
Most welcome!Thank you for watching my videos!
I keep getting gaslit when I ask to see the Reumatologist they say nothing indicates I need to see a specialist because my blood works seems normal, upsets me so much cause I know I have Reumatoid.
I was told the same thing by three different doctors... all your tests are negative, it's just osteoarthritis. Luckily my GP gave in and sent me to a rheumatologist in a big city, a 5 hour drive from my house. Success! The rheumatologist took one look at my hands and feet and after my history and tests, he diagnosed seronegative RA. After 4 days on prednisone, I couldn't believe the difference. Methotrexate did nothing and I'm on infusions of Remicade. Don't give up. Someone will finally listen.
We need more research on Erosive Arthritis ...
thank you for watching!
Hi, I am 27 years old and suffering from hip joint pain. when i first consulted doctor he diagnosed it as a axial Spondyloarthritis . few blood test were made including HLAB27. i followed medicine around one year. After that I consulted different doctor. he asked me to take RAfactor test. apparently it become neagative. so the type of treatment become seronegative arthrities. started with hydroxicloriquine and a nerve injection for few month. after that doctor prescribed few multiovitamin and minaralsoftest tablets and injection (nervijen injection ). but now Im experiancing heavy pain in hip hoint and its quite hard for me. my question is weather i have to change the treatment or should i go with same.I know your time is valuable . it would be great if you spend few mins to read my comments . Thank you
Thank you for sharing!
I was diagnosed with RA 8 years ago. A mild form he said. I was put on methotrexate immediately and told not to go off of it. I get a blood test done every 6-8 weeks. During the pandemic I was cutting out carbs quite a bit, taking 4-5 thousand units of vitamin D and cut out the wine. Eventually my rheumatologist told me that my markers were normal and if a student was looking at the test, they would say this person did not have RA. I’m wondering if I was misdiagnosed. I don’t like the idea of taking methotrexate if I don’t have to. Any suggestions of questions I should ask my Dr?
It was cutting the carbs and wine, I think. Keto/carnivore reduce inflammation. Have a look at Drs Ken Berry, Anthony Chaffee and Sean Baker for more info. I eat meat based and my markers are good. Adding vitamin is also very helpful.
@@nancy9478 I agree. Drs. poo pood it of course.
@@bonnieodonnell2780 how has your journey been since being diagnosed?
👏✊
I wish you were my Doctor !
Thank you for the kind words!
Hello, Doctor. What if the test results are opposite? My Rheumatiod Factor IGG, IGM and IGA were all positive. However, CRP and ANA were negative. Could I still have RA if I have all the symptoms? Thank you❤
Yes ! You could
Thank you for responding! I truly appreciate it.
Ma'am my anti ccp and RF test are negetive but ANA is weakly positive with 1.10 titre value , speckle pattern of neucleolus . I have some joint pain in both hand index finger. Is it seronegetive rheumatoid arthritis
check with a rheumatologist
ASO titre positive...ESR raised...but RA factor negative with all symptoms of RA can diagnosed as seronegative RA????
I was diagnosed with seronegative AR I have a negative Rheumatoid factor.
@@likeasoldier777 what about CRP and ESR?
@@khaledrasho1809 I don’t have the records with me. I wish I did. I’ve had to change doctors and am waiting for records to be transferred from my old doctors. I know they were both irregular but I can’t remember to what degree.
Mera v same problem h😥
I just got an osteoarthritis diagnosis. I'm in my late 30s, early 40s. I'm told it's normal, but this seemed to progress suddenly over the past 2 years😢
That sounds very painful but thank you for sharing!
If a person has rheumatoid factor and anti ccp showing in their blood, but within a normal level would that be considered sero positive or sero negative?
I do not understand your Question
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My age 30 and aso titre positive 313.7 and test ra anti ccp ana test are negative.and all joints are affected and so much pain. What will i do ma'am?
Thank you for watching my channel!
Please share with others to share the knowledge!
Madam have done esr ra factor and some tests all tests are showing negative , but i have all symptoms madam what should i do madam i am just 17 years plz tell me the solution
thank you for watching my channel!
Mine said it’s my age, 53, and that I need more exercise. I work at Lowe’s. I get a lot of exercise. However, I did join a gym and it was going three days a week. I’ve been feeling great after going to the gym, however, it did nothing to help my pain for the first few hours every morning!
How do you get a doctor to believe you? And if I can convince my doctor to refer me to a rheumatologist, will they know any better than my GP ?
It can be frustrating when your doctor doesn't seem to believe your concerns. One way to approach this is to be persistent and keep advocating for yourself. Keep track of your symptoms and bring them up to your doctor at every appointment. You can also ask for a referral to a specialist, such as a rheumatologist, who may have more experience with your specific symptoms and conditions.
I was just tested for everything I have all the symptoms you mention. also had chest, back and hand X-rays but all were negative except my hand X-rays. Show acute osteoarthritis. I was told just take Tylenol. I have severe hand pain all day every day ,neck, back ,ankle pain. I don’t know what to do . I also have parathyroid disease.
I have the same problem, everything it’s negative. And the inflammation Leves are normal, because I take at least 500-700 mlg of Advil a day for the inflammation and for pain Tylenol. I was reading that in some cases it won’t make any inflammation leves on your system when you took those test. I didn’t know that. So here I am, with pain, fatigue, headache, stiffness nauseas. And still they don’t know what I have!! So just to live day by day my liver it’s taking everything 😔
@@beitagarciadeleon have you been tested for parathyroid disease which would be high calcium, low vitamin D and high parathyroid hormones. I found out all my symptoms are probably from that not any inflammation from autoimmune problem. Only answer is parathyroid surgery which I’m having next month.
I have the same problem...
I was born with congenital hypothyroidism and now have Hashimotos Disease and non-functioning thyroid...
I have horrible pain in my hands and feet ....
The top joints of my fingers have large nodules on the joints and the top portion of my fingers are bent..
All inflammatory labs are negative..
Saw a Rheumatologist and through xrays was diagnosed with
Errosive Arthritis, which is a rare form of Arthritis...
Will photopsia occur in rheumatoid arthritis?
I am not aware of that!
*SERONEGATIVE INFLAMMATORY ENTHEOSOPATHY TERM MEANING AND WHAT IS THE CONDITION NAME*
Thank you for watching my videos!
@@rheumatologistoncall *DOCTOR, CAN YOU PLEASE CLEARLY TELL ME THE PROBLEM?* 🙏
How long we have to take medicine for seronegative arthritis? Will it turn something serious? Kindly reply mam
Thank you for watching my channel!
I am only 23 n dr said i have seronegative though all the report are all negative … i have only knee pain
Thank you for sharing! Thank you for watching my videos and supporting my channel!
Mee too dear too much pain...
@@pujaranidas973 now with God grace … my pain has been vanished .. I don’t know for how long but it has … may be i had never had it seronegative as is not detectable… but yess as my experience with .. i had control my eating not too much but abit, i eat less than before …jus try to loose few weight .. dats all ❤️ it had help me
Mera rF negative h to kya arthritis h
Thanks for watching my videos!
Telugu speech please
increas your sound.