- CASE FILE
24 YO Constant muscle fatigue, feels like growing pains in multiple jts. Positive ANA but rheumatologists/hematologists can't find diagnosis
ABOUT THIS CASE FILE
I am a 24 year old female who is in generally good shape. About two years ago, I started getting knee pain and stiffness. I was a cheerleader all throughout school so I thought it was just that, an old sports injury. However, the pain and stiffness spread to my hips, then my shoulders, then to my neck and ankles. I had bloodwork done, and my ANA was positive. I was sent to a rheumatologist and she said I was hypermobile and put me on medication for hypothyroidism. I kind of just left it at that until about a year ago when I had gone to the movies. When I sat down in my seat, I had this wave of burning sensation all the way from my neck down to my ankle ONLY on the right side. Since then, I cannot wash my hair without my arms feeling fatigued. I cannot walk up the stairs without my legs feeling like they're going to give out. I tried to get out and exercise and walk my dogs, and the next day I couldn't get out of bed I felt so stiff and achey. I don't know how else to describe it other than it just feels like I have growing pains. I was sent to the rheumatologist and, again, she had dismissed my symptoms and told me nothing was wrong. I was told I had a Vitamin B12 deficiency and a Vitamin D deficiency. I have been taking vitamins for both, and feel no different. I have been tested for Lyme and the reflex test came back positive, but they did further testing (western blot IFF & IGM) and all of the types came back absent. I was tested for ANA twice and each time came back positive but when the rheumatologist did the dilutions, it wasn't enough. All of the other rheumatological tests came back negative. My SS-B antibody was high but my SS-A antibody was not. No one seems to know the answer, but I am a 24 year old and I should not feel like I can't live my life. I have zero energy during the day, and I am running out of doctors to go to. I know how I feel, but it's almost as if doctors feel like I am faking it or exaggerating because it's not showing up in my blood work.