Hi, I am new to the group as well, but here is how I was diagnosed:
I have been 100% well my entire life. No one ion my family suffers from
anything even remotely like an autoimmune disease or PsA or even
psoriasis. I didn't even know what it was. In January '06 I developed what
I now know to be psoriatic patches behind my ears. At the time I thought
it was just really, really dry skin from the weird training facility (a
concrete, mostly underground vault used for military training and
meetings.) I had just spent 2 weeks at for my job. I struggled with this
spreading rapidly and my dermatologist gave me Olux, 40 some-odd
cortisone shots to the scalp, this medicated oil I have forgotten the
name of, and creams. Nothing helped much except Olux.
Then, the first week of June I started feeling stiff. Like my body was
mummifying. I thought it was after-effects from the car wreck I had
literally just been in (I was hit by a deer in my Illinois hometown and
both my daughter and I were completely unhurt to the extent that I
continued driving home from Illinois to NC - 11 hours and all was fine).
A week or so later, tho, I started feeling stiff. My internal medicine
Dr. and I tried to figure out what this was for the rest of the summer
and he must have taken a zillion vials of blood --- Rocky Mountain Spotted
Fever, Lyme Disease, MS, Lupus, everything you can think of. But he
came up with nothing. By the middle of July I was bedridden (this only 6
weeks after I had first felt stiffening). I couldn't walk or move my
hands, my fingers were swollen and turning sort of blue-ish.
I went to my dermatologist for more Olux and because I had developed
psoriatic patches on my elbows and thighs as well as my scalp. He noticed
how I couldn't walk, but when I had last seen him 4 months prior I
walked fine. I explained what had been going on and he asked if I'd
looked into PsA. I went to a rheumy (the first one I could get an
appointment with) and he confirmed PsA. He put me on Mtx, which made me
nauseous, and he then put me on Humira 2x/month. His diagnosis was
basically: You have psoriasis, you have swelled joints, you DON'T have
these other things according to the blood tests, ergo you must have
psoriatic arthritis.
I must say, United Health did not give us a bit of trouble approving the
Humira, nor did they give a bit of trouble approving the change in dose
to 1x per week a few months later when it became apparent the 2x a month
wasn't working. Our health insurance is thru my husband's work, and it
is a self insurance thru a very large bank, so perhaps that's why? In
any event United Health has been great, as has Caremark. The Humira? Not
so much. The shots really hurt. I don't know why they cant develop
something that doesn't hurt so badly going in and doesn't leave a bruise
as big as a softball for 2 weeks. I grew up in a farm town, and am a
pretty tough girl, not usually whiny, but I do dread that Humira.
So, I struggled thru last year and due to a huge (and I do mean huge)
amount of stress on my family and specifically me the symptoms have
flared dramatically to the extent where now I am basically covered all
over everywhere with huge psoriasis, my joints are so very stiff I'm
fundamentally mummy-fied all over again, and my toes and a big lesser
extent my fingers are re-swelled to sausage proportions, and now my
forearm muscles are very, very stiff (I have no idea why). And I'm
pretty much completely exhausted all the time, napping 3 hrs a day, 2x a
day plus a full nights sleep. I hate how much time I spend in bed,
actually. Its very unproductive.
So, my new rheumatologist is putting me on Remicade, which I am very
apprehensive about, but am hopeful it will work. Anyone with Remicade
advice, feel free to reply!
I hope this has been helpful.
C