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Suggest Treatment For RA And TB
Dear Doctor My daughter is suffering from RA +ve she had diagonised lumps in chest and montos +Ve she is now getting treatment for both TB and RA Now i would like to go fo second openion can you suggest CMC has got a team of doctors to diagnose the cause of RA and TB as opinion from other doctor that, RA could have developed (No heriditary) 1.due to injury that caused 4 to 5 years back while she is playing badminton 2. THIS MAY BE CURABLE IF parent disease is find out. 3 If lumps are developed due to injury treatment from lumps can be the nullifying the root cause. However I am looking for the best treatment that can be made......please suggest me
Fri, 28 Sep 2018
Hello,
No, this is not true. RA (rheumatoid arthritis) is autoimmune ( connective tissue) disease. It is not caused by injury. It is because of body's own immunity.
And just only on the basis of the positive Mantoux test, you should not start antitubercular drugs. RA itself can cause pulmonary nodules, fibrosis etc.
So in my opinion, you should consult pulmonologist and get done a bronchoscopy and BAL (bronchoalveolar lavage) analysis. If BAL is negative for TB then no need for anti-tubercular drugs.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Kaushal Bhavsar, Pulmonologist
No, this is not true. RA (rheumatoid arthritis) is autoimmune ( connective tissue) disease. It is not caused by injury. It is because of body's own immunity.
And just only on the basis of the positive Mantoux test, you should not start antitubercular drugs. RA itself can cause pulmonary nodules, fibrosis etc.
So in my opinion, you should consult pulmonologist and get done a bronchoscopy and BAL (bronchoalveolar lavage) analysis. If BAL is negative for TB then no need for anti-tubercular drugs.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Kaushal Bhavsar, Pulmonologist
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