In my experience, many doctors do not consider spondyloarthritis for women because of the outdated notion that it is a men's autoimmune disease. Spondyloarthritis encompasses a number of sub-types. Ankylosing spondylitis is generally the most extreme form, and men are more prone to get it. Other sub-types are psoriatic arthritis, which occurs with psoriasis; enteropathic spondyloarthritis, which occurs with Crohn's and inflammatory bowel disease; and reactive arthritis, generally transitory and occurring after an infection. There is also what used to be called undifferentiated spondyloarthritis, which is now more refined to axial (affecting mostly the spine and back) and peripheral (affecting joints more distant from the spine like shoulders and neck). There is a genetic test they do for spondyloarthritis for HLA B27. A large mistake many less informed doctors make is to think a patient who is negative for this gene does not have spondyloarthritis--this is now known not to be true, though a positive test points to a stronger possibility of having it; positive rates, however, are quite high for the ankylosing spondylitis subtype. An MRI of the sacroiliac joints can confirm a diagnosis, but a skilled rheumatologist can make a pretty accurate clinical diagnosis. The number one misdiagnosis for women with spondyloarthritis is fibromyalgia. |
| I have RA and have been on biological for13 years. There has been no joint destruction progression during that time. I could barely move when I was first diagnosed.Biologics mean I am living a normal life. |
I’ve always heard if you have one autoimmune disease, you will likely develop more. I have celiac disease and militantly stick to a gf diet but did develop 3 more (one of which is RA). |
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I’m not sure if I have RA (yet?)—my rheumatologist is calling it PsA for now. I’ve been on a variety of meds—failed or had reactions to them. Currently on Cimzia, but have recently done a few steroid tapers (6/5/4/3/2/1) due to unbearable joint pain.
Just took my next dose a week early and doing the “heal your gut” no sugar/gluten thing to see if that helps. All tests point to zero gluten sensitivity, but it can’t hurt. How does your rheumatologist measure joint damage? (Do they?) |
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what are examples of what you do eat? |
Learn to read dumb dumb. Osteoarthritis and RA are not equal. |
Enteropathic spondyloarthritis |