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What causes raised ASO titre and ESR levels?

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Posted on Wed, 20 May 2015
Question: A patient with high ASO Titre ESR RAISED.ANA,Ra factor negative.no history of sorethroat fever.but severe polyarthralgia relieved wth analgesics and steroid.how to manage now?
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Answered by Dr. Naval Mendiratta (37 minutes later)
Brief Answer:
polyarthalgia

Detailed Answer:
Good evening

Thank you for writing on health care magic

Raised aso and ESR are quite non specific. In XXXXXXX Aso is raised in almost all the patients

Could you give us some more details on the type of joint involvement.. Like which all joints are involved

2/ any swelling in the joints

3. Any early morning stiffness?

4. Any backache or beck.pain?

5. Any history if fever

6. Duration of the symptoms?

7. Any preceding loose motions or urinary infection



Steroids will help relieve the symptoms but we need to be sure what we are treating. Do let me know these queries. Will try to sort it out

Regards
Dr naval
Above answer was peer-reviewed by : Dr. Shanthi.E
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Follow up: Dr. Naval Mendiratta (2 hours later)
No history of throat infection recently last 2 months.polyarthralgia major joints more than 5 joints.no swelling no rashes.no fever(^ temp) recently.mild morning stiffness.backache history is there.no loose stools no urinary symptoms.no chest pain.no breathlessness.duration of symptoms 5 days.
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Answered by Dr. Naval Mendiratta (7 hours later)
Brief Answer:
Polyarthalgia

Detailed Answer:
Good evening

Well, 5 days is a very short history to start any major drug. Even for Steroids, I would recommend you to wait since you have mentioned it is only arthalgia(Pains) and no swellings. At times, it can be just a prodomal of the viral illness and can subside in 2 weeks time or a Variant of reactive arthritis. I would recommend you to get Vitamin D levels, CRP and Anti CCP antibody also done. That would help us delineate if it is Rheumatoid Arthritis or just vitamin D Deficiency causing these pains

Kindly continue on NSAIDS for the time being and let me know these results as well

REgards
Dr Naval
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 748 Questions

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What causes raised ASO titre and ESR levels?

Brief Answer: polyarthalgia Detailed Answer: Good evening Thank you for writing on health care magic Raised aso and ESR are quite non specific. In XXXXXXX Aso is raised in almost all the patients Could you give us some more details on the type of joint involvement.. Like which all joints are involved 2/ any swelling in the joints 3. Any early morning stiffness? 4. Any backache or beck.pain? 5. Any history if fever 6. Duration of the symptoms? 7. Any preceding loose motions or urinary infection Steroids will help relieve the symptoms but we need to be sure what we are treating. Do let me know these queries. Will try to sort it out Regards Dr naval