What is autoimmune bone disease?

default
Posted on Wed, 10 Jun 2015 in Abdominal Pain
Question: 60 year old white female. Diagnosed with Chron's Disease 4 years ago, have now developed a kidney stone caused from bacteria (now removed), low hemoglobin (have received transfusions), swollen spleen. and now some form of autoimmune bone disease. What do I have? Any info would be appreciated.
doctor
Answered by Dr. Naval Mendiratta 40 minutes later
Brief Answer:
crohns disease

Detailed Answer:
Good evening

Thank you for writing on health care magic

Well could you describe in more detail about the autoimmune bone disease you.mentioned:

1. Which joints are affected

2. Any associated back pain or neck pain

3. Any swelling in the joints along with early morning stiffness

Crohns disease is a very common cause of peripheral arthritis that is it can cause pain and swelling of the joints like knees ankles and others. Whenever the disease gets active it can affect the joints too. It is known as Enteropathic Arthritis. So I just want to know a few more details. The 2nd possibility is osteomalacia due to vitamin D and calcium deficiency as they are not absorbed in crohns.

Do let me know these queries and I will be able to guide you in the right way

Regards
Dr naval

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Naval Mendiratta 24 minutes later
1. Knees/ legs are the biggest issue.
2. No back or neck pain.
3. No swelling.
I haven't been given a name as of yet about the bone disease. My hemoglobin gets low, but the Eprex epoetin alfa helps. I went a whole year without a transfusion.
doctor
Answered by Dr. Naval Mendiratta 22 hours later
Brief Answer:
Arthritis

Detailed Answer:
Good evening

Sorry for the delayed reply

Was Caught up in Hospital duty...

1. The pain in your knees ,which has come without swelling can be due to crohns disease or age related Osteoarthritis changes as well. But either way, you need to supplement yourself with Calcium and Vitamin D as their absorption is low in Crohns patients. An X ray of the knee would be helpful. Once Crohns gets better, it will improve as well

2. For your Anemia, I really doubt the use of Epopetin Alfa injections. I mean, what exactly is the cause ?? IS it due to decreased iron, B12 absorption or is it getting broken down? Kindly check the reticulocyte count, Iron, B12 report for me.

I feel there are some missing links which need to be tied up. I hope the information was useful

Do let me know for more queries. WOuld be happy to answer it

REgards
Dr Naval
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 748 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication
Medical Topics ,  

Recent questions on  Enteropathic arthritis

doctor1 MD

hello my name is XXXXXXX and i am 23 years old . I have been feeling bad for a year now but the last 4 months have been especially horrible. 8...

doctor1 MD

hello my name is XXXXXXX and i am 23 years old . I have been feeling bad for a year now but the last 4 months have been especially horrible. 8...

doctor1 MD

I was admitted to hospital on Saturday following multiple episodes of loose stools followed by severe abdominal pain . I was last seen by a...

doctor1 MD

HI, I was on prednisone for about 4-5 years for UC... and systemic inflammation. My UC is gone and my gut is very good now and my Inflammation...

Get personalised answers from verified doctor in minutes across 80+ specialties

193 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2