Hi, I have recently been feeling fatigued and switched from a family physician to an internal medicine specialist. She found that I have an elevated sed rate of 43 and then I tested positive for RA (24 on the Mayo Clinic scale). I will see a Rheumatologist this week. Oddly, I have no pain or stiffness in my joints. All other blood work looks good and I had an MRI last week to rule out a brain tumor or lesions on the brain (often a sign of MS). Any thoughts on what other issues could be going aside from the possibility of RA? Thanks!
Welcome to the MedHelp forum!
High levels of rheumatoid factor can be found in severe rheumatoid arthritis, autoimmune diseases like systemic lupus erythematosus (SLE), scleroderma, Sjögren's syndrome, and vasculitis, infections like Hepatitis-C, chronic diseases like tuberculosis, mononucleosis, syphilis, and malaria, leukemia, liver disorders and endocarditis.
RA of 24 is not very high. It may not mean anything. An elevated ESR just confirms inflammation in the body and is not very high either. If you are feeling fatigued then you should rule out certain other conditions such as hypothyroidism, anemia, chronic fatigue syndrome, depression, poor sleep patterns, inadequate sleep, low Vit b12, low iron, low calcium, sodium and potassium. A comprehensive investigation is required keeping all the points in mind.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
Hello again, I saw an excellent rheumatologist and he ordered $3200 in blood work and a chest scan. Specifically, we are looking into these possible disorders/disease scenarios that could be driving up my SED and RA numbers: lupus anticoagulant syndrome, sarcoidosis, inflammatory bowel diseases, celiac disease and hepatitis b and c. I am still very fatigued and anxious. My doctor promised to smoke this out, so I am confident that he is looking at all angles. Again, thank you for your support! This is a very comforting site for those seeking answers and help!
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.