If its not Rheumatoid what could it be?

[tjmac27]

Hi i have recently been to the doctor and had blood test with the result 1265 instead of needing to <160....  Meaning that it could be Rheumatoid! With no history in the family i askied what else it could be but i cant remember what the doctor said because she just said i really need to see a specialist... i am currently looking for one but would like to know what else it could be if its not Rheumtoid?
Thanks
Tara

[Abhijeet Ghosh]

Dear tjmac27,
Since you are not so sure and gave me 2 values , normal being 160 and yours being 1265, i would consider this as ASO titres.
RA is of 2 types - 1)Seropositive and 2) Seronegative.
If the values are so high, you would fall into seropositive RA.
High ASO titre means some sort of inflammatory disease going inside the body.The main Differential diagnosis are -
1) Rheumatoid arthritis.
2) Rheumatic Fever.
3) Rheumatic Valvulitis
4) Chorea
5) Tic disorder
6) Skin infection
7) Cholesteryl ester storage disease.
8) Scarlet fever.
These are the main D/D available with me.
Other investigations like RA factor,ESR and CCP would help to distinguish RA from the other.
Regards

[tjmac27]

i do not have a copy of the test results so wouldnt know the answer to these!

all i know is that the doctor said the reslult is high as it should be less than 160 but it was 1265!

thanks
tara

[Abhijeet Ghosh]

Dear Rachel,
Request you to post your question as a new separate  post.
I would be answering tjmac27 in this post.
Regards

[rachel1992]

hi sir,
i m hving jra since i was 7  years old.now i m 17. i hv ra facter positive.my question is that for how long i will hv to tak the medication.please dont say"for a long term" pleas specify the "long term.". will there b time when i will be completely free of meds and pain.
my second question is that why 3 tabs of 5mg each mtx are given,cant we hv one single of 15 mg?

[Abhijeet Ghosh]

Dear Tara,
Please specify if this is High ASO levels?Also need to know your other blood tests, if done.
Regards