I dont understand that you say PSA does not come in attacks, it is well documented that PSA has flares... granted I can usually tell the difference between PSA and Gout
becasue the Gout comnes on almost overnight and is usually just in the toes - however you can get uncontrolled gout in other places right?
I am already seeing Rheumo - however he is quite old, and not up to date with Biologic Treatments - the problem I have is that I dont know which drug or biologic drug is best suited for me - most seem to lower immune response - but I already have a low immune response and they are trying to increase the response because I have low igG
- I have intravenous infusons to increase my IgG however this makes the PSA worse.
ANA - always seems normal - SLE is negative, So is R Factor Blood Count is usually reasonably ok ESR
is usually a bit high CRP is normal unless huge attack, this is even when I have chest wall problems and Gout.
I hjave had aspirated jints before and they often find urate crystals, but MRI's suggest more likely to be connective tissue
disease as synovial involvement is common -
What is Anti CCP antibody - I have not had this tested?
What are ILD changes?
I have had 6 CT scans due to the squamous metaplasia
in my airways and the pain, they never find anything too much wrong - they just see flluid at the bottom of lungs and a lot of inflamation - Biopsies of airways always shows chronic Inflamation of lungs and airways.
My whole body seems to suffer inflamation of some kind and has done since immunisation 8 years ago - I am just trying to find a drug that will help with PSA but not affect my already reduced IgG levels?
Sulphasalazine seems to lower my IgG even further and I get too many infections