mohsinaliasdfMemberMay 12, 2012 at 1:31 pmPost count: 11
Hi dr dorenman my name is mohsin ali and i am 17 years old and today i want to discuss the several unusual problems that’s im having. i don’t know where to start there’s soo much to say . well ill start off with a little of my medical history six months ago i was a healthy individual ever since then my life has become miserable not to mention. well first i started having chronic joint pain and fevers i wasnt even able to take a step i mean my legs just gave up . After a couple of weeks the pain started going to my shoulder my elbows and basically my entire body . after two months or so i had an episode where i had to be rushed to the E.r where my blood work was done and i was diagnosed with rheumatic fever ( rheumatoid arthritis) i was given an injection of penicillin and other meds . but it really didn’t help from that day on i cant live a normal life anymore , ive gave up on school ,sports, and everything i normally did when i was healthy. my regular pediatrician isnt helping me as he should be , like he referred me to a rhuematologist , an orthopedic, they had my x-rays done for shoulder ,knees and elbows but find no arthritis. now the big thing with my back just started 3 months ago at first it wasn’t that bad like i was able to do a little somewhat like walk normal . then it starting getting really bad i couldn’t even move , my mother had to pick my body out of my bed and i would fall back down. and yeah i was still having fever at that time . the symptoms were gradually increasing day by day . now its all around my back. my lower back , upper back , surrounding spine areas . now every time i breath i can hear cracking notice my my back and neck .it has gotten me really depressed i mean im just waiting for some doctor to diagnose me thoroughly and get treated . at 17 i know how kids do with their life and here i am home all day suffering . so far no mri done. x ray was done but doctor just said don’t worry that’s all. my question is that what is the main possible reason thats causing so much pain and fevers , and causing my bones to shrink . does it sound like something systemetic or is there really something wrong with my back seperately. i would gladly appreciate your help doc i am looking to get back to normal life. please shed some light on me .
thank you so much.Donald Corenman, MD, DCModeratorMay 12, 2012 at 11:13 pmPost count: 8459
It appears that you have developed an autoimmune arthritis. An autoimmune condition is one where your own body defenses (white blood cells and antibodies) have mistakenly identified some of your own host tissues as “foreign invaders”. In your case, the proteins that appear “foreign” to your immune system are in the joints of your body.
You mention two separate conditions, rheumatic fever and rheumatoid arthritis. These are different problems but can lead to similar symptoms. Rheumatic fever starts with a strep infection in your throat (sore throat) and is found in younger individuals (10-20 years of age normally). In your case, this infecting bacteria has very similar proteins as some of the tissues of your body. Your body has mistakenly confused your own joint proteins as part of this streptococcus bacterial infection. Your body then goes forward attacking these proteins as it thinks that certain cells in your joints are this bacteria. The heart, brain and skin can also be involved. The joint inflammation is not normally destructive.
Rheumatoid arthritis has a similar mode of pathology but is a different disease process.
Dr. CorenmanmohsinaliasdfMemberMay 13, 2012 at 7:16 amPost count: 11
thank you doc for your reply. my doctors did some blood work and it showed an elevated level of antistreptilosi ASO and was only given a pencillin njection, but show no improvement at all. what can i do in this case should i go to the e.r to be admitted for a full medical check up or otherwise ? i still dont understand where my back pain is coming from . can it be a possible herniated bulgin disc. thanksDonald Corenman, MD, DCModeratorMay 13, 2012 at 10:30 pmPost count: 8459
Back pain that was not present before your rheumatic fever could be residual from inflammation or from a process that originated in your back (degenerative disc disease or such).
A good work-up from a skilled spine specialist should yield a diagnosis.
- You must be logged in to reply to this topic.