Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Cannot Walk Or Stand Straight Without Pain In Foot, Done Blood Test. Implications?
A doctor said I may have a rheumatic fever .. But another doctor mentioned that I don t have any because I don t have fever.. I went to them because I can t barely walk nor stand straight without pain in my right foot.. When I got laboratory, these are the results, Uric Acid 4.52; FBS 103; ESR 15; CRP negative; RA Factor negative; ASO Titer positive.. What are the implications of these things?
Mon, 7 Jul 2014
Emergency Medicine Specialist, Dr. Prathap's Response
Hi.. Rheumatic fever should have a predisposing episode of sore throat infection or any form of streptococcal infection and associated with fever, multiple joint pains, +/- rashes, +/- palpitation. in your condition u have only joint pain and ASO litre alone positive with RA factor, ESR and CRP normal, so it is very unlikely that it is rheumatic fever. ASO litre can also be false positive in some other conditions like chronic infection like TB and some liver pathology. But with your investigations it looks more like a long term inflammatory disease. more like a seronegative Rheumatoid arthritis. Watch for morning stiffness of joints and small joint pain and swelling. It is advisable to Consult a rheumatologist for further investigations and for proper diagnosis and treatment. thank you.
I find this answer helpful
You found this answer helpful
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
Cannot Walk Or Stand Straight Without Pain In Foot, Done Blood Test. Implications?
Hi.. Rheumatic fever should have a predisposing episode of sore throat infection or any form of streptococcal infection and associated with fever, multiple joint pains, +/- rashes, +/- palpitation. in your condition u have only joint pain and ASO litre alone positive with RA factor, ESR and CRP normal, so it is very unlikely that it is rheumatic fever. ASO litre can also be false positive in some other conditions like chronic infection like TB and some liver pathology. But with your investigations it looks more like a long term inflammatory disease. more like a seronegative Rheumatoid arthritis. Watch for morning stiffness of joints and small joint pain and swelling. It is advisable to Consult a rheumatologist for further investigations and for proper diagnosis and treatment. thank you.