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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe RA. On Prednisone, Methotrexate, Folic Acid, Oxycodone. Help?

Hello, I am a 51 year young woman, I have sever RA for past 20 years. Been on Prednisone for the whole time, currently 5 mgs a day, areva 20 mgs day, methotrexate 7 pills once a week, and folic acid every day. This morning I found a nodule on the back of my left leg just above my ankle (this ankle is fused) it is very sore and red. I also had stage 1b lung cancer . I have been cancer free for one year, just had a check up in Jan. I have a history of staph and other bactirial infections in my feet . Just wondering if I should be very concerned and call my ortho doctor tomorrow, or wait and see what happens. I also have oxycodone 5/525 and I have take 1 and 1/2 pills already today. I have a very high pain tolerance ( so it is unusal for me to take this much pain meds) and it is very rare if I run a fever, thru all my infections on my feet I was hospitalized 3 times and came home with pick lines and never once ran a fever. Thank You
Wed, 3 Apr 2013
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Internal Medicine Specialist 's  Response
hello !

It seems you have been having a quite a disturbing joint disease. Currently you are disturbed by this sore red nodule on the back of your leg. With the kind of immunosuppresive medicines that you are taking for your RA, it is likely that despite severe infection you might not have a fever.
Any red nodule which is sore could be an initial focus and should not be left undiagnosed.
I would suggest you to meet a physician for a local infection , to see of you are developing signs of infection.
Hope you query is resolved.
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Severe RA. On Prednisone, Methotrexate, Folic Acid, Oxycodone. Help?

hello ! It seems you have been having a quite a disturbing joint disease. Currently you are disturbed by this sore red nodule on the back of your leg. With the kind of immunosuppresive medicines that you are taking for your RA, it is likely that despite severe infection you might not have a fever. Any red nodule which is sore could be an initial focus and should not be left undiagnosed. I would suggest you to meet a physician for a local infection , to see of you are developing signs of infection. Hope you query is resolved.