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Whatever I need to tell you is well outlined in the following article. Please go through it and discuss with your doctor.
“Episodes of joint pain are well recognised in CF, usually starting after ten years of age, and occurring in about five to ten percent of patients (Lawrence et al, 1993). The commonest form of joint pain in CF is an arthritis which mostly affects the large joints, for example the kneeAnterior cruciate ligament (acl) injury Anterior knee pain Bursa of the knee Dermatitis, herpetiformis on the knee Knee arthroscopy Knee arthroscopy - series Knee joint replacement Knee joint replacement prosthesis Knee pain Kneecap dislocation Meniscus tears, ankleAnkle pain Ankle sprain Ankle sprain - series Ankle sprain swelling Atopy on the ankles Foot, leg, and ankle swelling Lichen simplex chronicus on the ankle Sprained ankle, wrist, elbow and shoulder. This is sometimes referred to as CF associated arthritis. Episodes usually last less than a week but can be quite disabling. Acute onset at a young age is often sudden with widespread joint pains and general 'flu-like symptoms. Patients often cannot walk because of leg pains and just want to stay in bed. Sometimes the attacks are associated with high swinging fevers and skin rashes.
Most patients rapidly respond to non-steroidal anti-inflammatory drugs such as ibuprofen (Brufen). Short courses of prednisolone may be needed in a minority of patients. Occasionally more aggressive and potentially toxic treatments are necessary. These patients require the expertise of a consultant rheumatology with a special interest in cystic fibrosis. The arthritis follows a remitting and relapsing course. Symptoms mostly completely disappear between attacks. X-rays tend to show no abnormalities. Although in most cases there is no permanent damage to the affected joints some have progressed to an erosive arthritis with bone destruction.
A second form of bone and joint disease is called hypertrophic pulmonary osteoarthropathy (HPOA). It is usually found in young adult patients and has an insidious onset. Pain, which is generally mild at the beginning, may increase to a continuous ache. The clinical picture may vary from a minimally swollen joint to tender, warm and swollen joints resembling those seen in rheumatoid arthritis. Symptoms are often worse in cold weather.”
You can read more about this on this link: http://www.cysticfibrosismedicine.com/htmldocs/CFText/arthritis.htm
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
Thanks for writing to the forum!
Whatever I need to tell you is well outlined in the following article. Please go through it and discuss with your doctor.
“Episodes of joint pain are well recognised in CF, usually starting after ten years of age, and occurring in about five to ten percent of patients (Lawrence et al, 1993). The commonest form of joint pain in CF is an arthritis which mostly affects the large joints, for example the knee, ankle, wrist, elbow and shoulder. This is sometimes referred to as CF associated arthritis. Episodes usually last less than a week but can be quite disabling. Acute onset at a young age is often sudden with widespread joint pains and general 'flu-like symptoms. Patients often cannot walk because of leg pains and just want to stay in bed. Sometimes the attacks are associated with high swinging fevers and skin rashes.
Most patients rapidly respond to non-steroidal anti-inflammatory drugs such as ibuprofen (Brufen). Short courses of prednisolone may be needed in a minority of patients. Occasionally more aggressive and potentially toxic treatments are necessary. These patients require the expertise of a consultant rheumatology with a special interest in cystic fibrosis. The arthritis follows a remitting and relapsing course. Symptoms mostly completely disappear between attacks. X-rays tend to show no abnormalities. Although in most cases there is no permanent damage to the affected joints some have progressed to an erosive arthritis with bone destruction.
A second form of bone and joint disease is called hypertrophic pulmonary osteoarthropathy (HPOA). It is usually found in young adult patients and has an insidious onset. Pain, which is generally mild at the beginning, may increase to a continuous ache. The clinical picture may vary from a minimally swollen joint to tender, warm and swollen joints resembling those seen in rheumatoid arthritis. Symptoms are often worse in cold weather.”
You can read more about this on this link: http://www.cysticfibrosismedicine.com/htmldocs/CFText/arthritis.htm
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!