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Jaw swelling and pain with mildly elevated titers of Anti Nuclear Antibody - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1772 Questions

User :   I am 29 yr old female that has been experiencing joint pain (jaw and rt. index finger with a nodule that swells from time to time). I have had a detectable XXXXXXXX with 1:40 ratio. MRI of the jaw showed limited translation on opening with flattening of the condlye consistent with adhesions or muscle guarding. To top it off I had a hospital admission this week for Afib with RVR. Please tell me what is going on. My doctor keeps saying everything is normal.
Doctor :   Hi
User :   hello
User :   I am 29 yr old female that has been experiencing joint pain (jaw and rt. index finger with a nodule that swells from time to time). I have had a detectable XXXXXXXX with 1:40 ratio. MRI of the jaw showed limited translation on opening with flattening of the condlye consistent with adhesions or muscle guarding. To top it off I had a hospital admission this week for Afib with RVR. Please tell me what is going on. My doctor keeps saying everything is normal.
Doctor :  
Since when are you experiencing these symptoms?
User :   6months and counting
Doctor :  
Which joint of the index finger is effected?
User :   my mother was diagnosed with RA at 27 years old
User :   first knucle
User :   base of my finger
Doctor :  
Do you have any other joint apart from the jaw that is affected?
User :   no
Doctor :   Ok
Doctor :  
Have you been evaluated for rhematoid arthritis?
User :   thats is what the arthritic panel was for...at least that is what I thought.
Doctor :  
XXXXXXXX is non specific.
User :   i see. so how would i know
Doctor :   The reports of other immunological profile is necessary to diagnose the condition.
Doctor :   Hi
User :   Was this information not significant to further evaluate my condition
User :   my R factor was only6
Doctor :  
And further a titre of !:140 is very mild to consider to be positive.
User :   I see. Would they be higher if I had gone in when the pain was at its worst?
Doctor :   The antibody levels do not flutuate depending on the symptoms.
Doctor :  
So it is unlikely that these levels would have been higher when your symptoms were worst.
User :   so why are they detectable then?
Doctor :   However if these symptoms persists or if there are other joints which would be involved then a repeat of these tests may be necessary.

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