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» LymeNet Flash » Questions and Discussion » Medical Questions » Differential Diagnosis and RA

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Author Topic: Differential Diagnosis and RA
five4me
Junior Member
Member # 22843

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I looked thru the old posts on RA but had a couple questions, if you guys will humor me. [Smile]

Is RA a standard differential diagnosis for Lyme?

Is RA usually ruled out or does it not matter which is ruled out/ruled in first?

Is there evidence that Lyme causes RA or that they often are seen together?

Differences between Lyme arthritis and RA?

I noticed that some of the old RA posters said they were "misdiagnosed" with RA. How did you (or your doc) determine it was a misdiagnosis?

Thanks! Have an appt with rheumatologist later this month and am trying to make sense of things beforehand.

Posts: 9 | From OH | Registered: Oct 2009  |  IP: Logged | Report this post to a Moderator
tdtid
Frequent Contributor (1K+ posts)
Member # 10276

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I'm sorry but I don't even know what a Differential Diagnosis is.

That said, I did have a positive RA test, which I understand is fairly common for Lyme Patients.

Unless your Rheumotologist is Lyme Literate, I seriously doubt that he/she would understand any connection with Lyme.

Cathy

--------------------
"To Dream The Impossible Dream" Man of La Mancha

Posts: 2638 | From New Hampshire | Registered: Oct 2006  |  IP: Logged | Report this post to a Moderator
monkey1
Junior Member
Member # 24823

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I will say that I have tested positive for RF as well as a positive ANA with a TITER. The Rhuemy doc wants to lean towards LUPUS but cannot explain why my SED or CRP rate is not elevated? Do you have a elevated SED OR CRP rate with your positive RF? These would be elevated with RF or LUPUS and mine are not. Until discovering and putting together all my symptoms I never thought about Lyme Disease and now before we start any steroids or LUPUS meds I want to be tested for LYMES. Hope this helps, I'm just learning..
Posts: 2 | From texas | Registered: Mar 2010  |  IP: Logged | Report this post to a Moderator
Pinelady
Frequent Contributor (5K+ posts)
Member # 18524

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monkey1, you are right to get tested before steroids. If you have been on them-I would wait a

month before testing. Are you going to test with Igenex? I would. Ana is common in lyme with low

titers usually speckled and smooth. Sed rates and CRP's are often deceiving in Lyme because Lyme

sometimes hides in the immune system. And sometimes we have to kill some before the test will see the antibodies on the antigen tests.

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

Posts: 5850 | From Kentucky | Registered: Dec 2008  |  IP: Logged | Report this post to a Moderator
   

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