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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurrent Body Itching, Wrist Pain Followed By Joint Pains, Difficulty In Walking, Have High C-reactive Protein, Liver Enzymes. Cause?

In Oct 2011 my mom starting having an all over body itch . this lasted for several days and then one day she noticed pain in the wrist . Within 24-48 hrs the joint pain was in both wrists, shoulders, and knees. So severe that she could hardly walk. SHe had an off the chart C reactive protein , slightly elevated liver enzymes (which were normal with repeat testing). They thought she had mono at that time. After a month of prednisone (starting at 40mg for two weeks, then decreasing by 10mg every week) her symptoms resolved. THe whole cycle is starting again with the body itch starting 5 days ago and yesterday she developed pain in the knee. by today she has increasing pain in both knees, one shoulder and wrist. She denies abdominal pain, no fever, no new medications, no jaundice. What is going on?
Mon, 3 Sep 2012
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Rheumatologist 's  Response
hi,
you should probably get her tested for arthritis, in the form of rheumatoid factor, anti ccp and also get her thyroid profile.
secondly get in touch with a rheumatologist who can check her out when she is having joint pains to see for swollen joints.
as she was put on prednisone earlier her symptoms are sure to subside, but if she is getting arthritis she needs to be on medicines called DMARDs.
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Recurrent Body Itching, Wrist Pain Followed By Joint Pains, Difficulty In Walking, Have High C-reactive Protein, Liver Enzymes. Cause?

hi, you should probably get her tested for arthritis, in the form of rheumatoid factor, anti ccp and also get her thyroid profile. secondly get in touch with a rheumatologist who can check her out when she is having joint pains to see for swollen joints. as she was put on prednisone earlier her symptoms are sure to subside, but if she is getting arthritis she needs to be on medicines called DMARDs.