Guest guest Posted April 8, 2006 Report Posted April 8, 2006 , don't forget to add any other symptoms that indicate auto-immune disease that you may have, like the fatigue if you have any, or things like brittle breaking hairs along the hairline or hair loss or Raynaud's. Having your previous records (including Xrays and lab results) forwarded to the new doc from your other doctors' offices before the appointment helps too. Good luck! Hope you find a Rheumy/Pain Center that helps! Mark, you can have rib involvement. Mine were never sore, but I always felt like I had a hard time taking a deep enough breath in. That was initially one of the reasons how I was diagnosed. I complained also of occasional throbbing pains in the chest area. The first rheumatologist measured my rib cage, once after exhaling and once on my deepest inhalation possible. Your rib cage is supposed to expand 4 cm or more with inhalations, and mine only expanded 2 cm....he said this was indicative of inflammation of the rib cartilage which hampered inspiration, and that the pain was costochondritis related to the inflammation. He said these were signs (along with my other complaints of hip, back, and toe joint pain) of spondyloarthropathy, a group of auto-immune seronegative arthritis conditions which psoriatic arthritis is one of. After he put me on the Methotrexate to stop further joint damage, my lung expansion improved as the inflammation subsided. Hope this helped. Take care. Wanda Wanda __________________________________________________ Quote
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