hey all! i’m a 32yo female who is struggling. really bad. i’m sorry but this is going to be long and i hope at least one person reads this 😔
i have been in and out of doctors after finally getting insurance about 6 months back (i know it often takes much, much longer to get a diagnosis for some) and i just feel so dismissed. i’m not sure if what i’m currently dealing with is even autoimmune, but i was diagnosed celiac 2.5ish years ago and i know it’s common to have multiple autoimmune diseases. so i figured it’s likely that what i’m experiencing is also autoimmune.
i’ve struggled with fatigue and full body aches for a couple of years. i was in active cocaine addiction so i chalked it up to that and just recently having gone gluten free. but, now that i’ve been gf for about 2.5 years and sober for 7 months - things have gotten worse. much worse.
in addition to the unspecified body aches and extreme datugue, i started to get pain in my legs, feet and hands - it seemed like my joints. then they started to puff up and get stiff as well, mostly in the mornings. i got an ana done at my pcp and it was low positive at 1:80 with a homogenus pattern. i went back to my rheumatologist (from when i was diagnosed celiac) who did a few tests and ultimately diagnosed me with seronegative rheumatoid arthritis. at the time i was fine with that diagnosis. she started me on hydroxychloroquine. they also noted osteoporosis in my hands.
less than a week later i ended up in er. i had horrible pain in my left leg, my left foot swelled up, burned and turned bright red, i got dizzy, nauseous and my chest hurt. they checked for a dvt and i was cleared. got a referral to cardiology because my ekg was “weird” as they put it. the bloodwork showed 1.4 absolute eosinophils and low potassium. they found minor s-shaped lumbar scoliosis. they diagnosed me with anxiety and muscle strain (it was so far from a muscle strain - i was very upset) and sent me home.
from there, i saw a new pcp (because of some stuff in the past w my prior one) and got repeat lab work. everything was back to normal. but a few days later my right foot swelled, turned red and burned and my right leg hurt. none of the other symptoms, though. over the next week it began to happen to my hands as well, but they weren’t swollen so much as the skin was tight? if that even makes sense? i also started to get chest and face flushing and random rashes on my body.
the next month is kind of a blur, i don’t remember exactly the order my symptoms manifested but i will list them: tingling in my hands, feet and legs. headaches (sudden, intense and fairly short lived). fluid in ankles and calves & swelling with pitting. random bug bite like bumps, usually isolated but up to 4 clustered, that leave behind purple marks (on my thighs, butt and stomach). diarrhea, constipation and nausea taking turns. feeling like food gets stuck in my chest. shaky vision (feels like my eyes vibrate?) (this has only happened maybe 3 times, but it’s freaky). mouth sores (always have gotten these but now i always have at least one). left knee cramp that lasted over 24 hours. patches of unprovoked isolated goosebumps, that i then realized i could trigger by touching my arm and it would ONLY goosebump where i touched. very itchy skin, randomly, at night is bad and after showers. bruises of unknown origin. shortness of breath and exercise intolerance. chest/neck/face flushing (one instance of what i believe was malar). dizziness (upon standing but also randomly and once after eating). random flushing/hives on various body parts.
i started researching and got worried i had DRESS so i contacted my rheumatologist and she said i can stop if i want, but she doesn’t feel it is. i stopped it anyway in hopes i could feel better.
then, on september 2nd i had the worst case of my foot pain/redness/burning ever. i sobbed myself to sleep. the next day i couldn’t wake up. i was slurring my words. couldn’t do anything. i called my mom crying and she came to see me. said if i wasn’t better the next day she’s taking me to er. (i was reluctant because i lost insurance for a few weeks switching jobs) well, i wasn’t better. so she took me in. i barely remember it. they basically said they have no clue. labwork was fairly unremarkable aside from having ketones in my urine and a low tsh (but normal t4). my uncle and mom both have autoimmune thyroid conditions so we thought maybe we were onto something with this finding.
went back to my pcp and explained all these new symptoms. she didn’t really address any, just noted that i was underweight. which i am. i’ve always been thin, but dropped quite a bit in the past month. which was another concern i brought to her. but she ordered a holter and echo. it was very unproductive imo.
after that, more symptoms began: random temp spikes (not fever but like from 97.6 up to 99.8 in a minute, then back down to 98 in another minute). major decrease of appetite and when i could eat, early satiety. occasional night sweats.
went to cardio and my heart has some abnormalities but they were unremarkable findings. got a tentative pots diagnosis - tilt table test in january. started on metoprolol.
now in the past couple weeks, more symptoms have started. i got a round, light pink and wrinkly lesion on the inside of my elbow. my nails have dents in them horizontally that i just noticed. they have ridges vertically. and i have what appears to be called “terry’s nails”. my nail beds become very red and inflamed and when i use my camera to look up close i can see spider veins below my cuticle. my lip line has blurred and there are spider veins along where it used to be. i have 3 mouth sores. a lot of my hair follicles on my legs are inflamed and those hairs fall out easily.
i got more lab work done and it was mostly unremarkable at first glance. aside from my nt-probnp which was high, but cardio thinks it’s fine? but upon looking closer, i see some concerning trends. my rbc were a little low which was flagged, but also my hemoglobin and hematocrit dropped significantly. my wbc are trending down. despite having slightly elevated eosinophils again. my b12 shot up (no diet changes). my ferritin went up (again, no changes) but my iron panel results dropped? my creatinine, albumin, total protein, globulin and alk phosphate are all trending down pretty fast. also, my tsh, t4 and t3 were all normal? which was surprising considering my family history and prior results.
my doctor said everything’s fine and that the trends i’m seeing don’t matter essentially, since most are still within range. i just, i don’t know what to do guys. something is wrong and i can barely function day to day with the pain and fatigue and at least one symptom happening constantly.
if anyone has recommendations for what to do, what tests to request, etc. please help!
i can attach pictures if anyone reads this and feels it may help. thanks so so so so much to anyone who made it this far 💖