I am hoping that someone here might have some insight into what is going on with me. I have an appointment with a rheumatologist tomorrow, but have been going round and round with doctors so much in recent months that I have little faith that I will know anything more after that visit. I am a 35 year old female. I am a mother of 4 and work full time as an RN and am becoming very frustrated with trying to find medical help. I am negative for rheumatoid factor, all arthritis panel labs including ESRD and VDRL are normal. LFT's are normal. CBC is perfect. I don't even have a cholesterol problem. On paper I look great.
1. Joint pain
I have had joint pain that seems to wax and wane for several years (since 2002) that in the past 5 months has gotten markedly more severe and has been accompanied by visible swelling on occasion. My right knee, right elbow and left shoulder seem to be the most affected, but my ankles swell at times too. The only joints I have that never seem to have any pain are my wrists and fingers, which are stiff (and I have a couple of nodules on the fingers of my right hand) but never painful. For the last two weeks my legs and arms have been contractured when I wake up and it takes me about a half hour to get them to move freely again. Also having some coordination problems with my right hand (what has been referred to at work as "nurse dropsies").I am right handed, so this causes a problem for me.
2. Rash on palms
Since 2002 (after getting a tonsillectomy for what I later learned was actinomycosis) I started getting small fluid filled blisters on the palms of my hands (the heel of the palm) that start out as little hard bumps, rupture and drain a small amount of clear fluid then go away. I have had these frequently enough that the heels of my palms are now scarred. My joint pain is markedly worse when the blisters are prevalent.
3. Ulcerations in nose
I have had a large and painful ulceration in my left nostril for 4 months now. It cracks and bleeds and never seems to heal. Last night I got a severe pain in my right eye and nostril and now seem to be developing an ulceration on that side too.
4. Hypersenitivity reactions
I have been told (by a dermatologist) that I am allergic to soaps because I break out in a full body hive like rash every time that I take a shower or bath. I don't think this is the case because I get the rash even when I just use water and sometimes will just wake up with hives on my neck and face. They usually go away on their own within a couple of hours.
Ok, so all of these things together add up to? Not normal. I would appreciate any insights anyone might have about this. I am 35 and I feel like I'm 95.
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