18 y.o. female going on week 9 of systemic joint pain and stiffness. While all joint are affected, it is worse in the knees, ankles, toes, wrists, fingers, and lower back. Started out as a general strong ache and stiffness in every joint, but has been replaced by extremely sharp pains lasting from 10 seconds to 5 or 10 minutes frequently throughout the day, primarily in the left ankle and elbow, with stiffness and occasional pains elsewhere. Pre-existing tendency to dislocate and sublux same joints while sleeping or resting that began 2 yrs. ago seems related. No rash, fever, digestive problems, or redness or swelling of the joints.
Started out taking 600mg ibuprofen every four hours for two weeks with no effect, was prescribed 15mg Mobic for two weeks with no effect, switched to 550mg naproxen for two weeks that did help very little with the sharp pains, a week of 1000mg acetaminophen every 5 hours, and finally a two-week trial of prednisone on which the symptoms returned to full-force.
Blood tests on week 4 were negative for rheumatoid arthritis, Lyme disease, and Parvo, and the only abnormal result was an elevated ESR of 46. RDW value was borderline high, and WBC count and urea nitrogen level were borderline low.
Switch of birth control to Ortho Tri-cyclen Lo about 3 weeks before onset is the only apparent change. There are many chemical and plant allergies that seem to be increasing in number and strength within the past year, with a strong latex allergy popping up within the past 6-7 months. The only things anybody has been able to come up with to suggest looking into are SLE, B12 deficiency (vegetarian), or the beginnings of a gluten allergy.
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