Diagnosis: Suspected Lupus 2004; Raynauds 2006; Sjogren's 2006; CFS 1991; Mono 1985
Meds: Plaquenil 400mg; Relafen 1000mg; tramadol 100mg 3-4x daily; Amitriptyline 10mg; Neurontin 200mg; Steriod Cream and Mouth Rinse for tongue and mouth ulcers; Hydrocodone 5/500 prn for severe pain
Hippiemom2, my nephew had strep throat last year that evolved into rheumatic fever. Had a heck of a time getting a diagnosis because a lot of doctors don't recognize rheumatic fever these days. His symptoms were of course related to strep throat at first, but then all of his larger joints (ankles, knees, elbows, etc...) started swelling badly. Later, he developed a rash over, I think, the lower portion of his body. He was put on penicillin and an NSAID for the joint swelling, and referred to a pediatric rheumatologist, whom he still currently sees. He now has to take penicillin, or the equivalent, for the rest of his life. If he gets strep again, there's a good chance it will go straight to his heart. He did have a consult with a pediatric cardiologist last year after this happened, but he's just fine in that department. He's only 8 years old.
In your son's case, if he has a high ASO titre, and that is related to strep, I would strongly consider mentioning this to your pediatrician, and certainly to the pediatric rheumatologist once you get your son there. My nephew was very fortunate in that the doctor on call when he was taken to the ER was a pediatric rheumatologist who specialized in rheumatic fever. Evidently, rheumatic fever is making a comeback in this country. Not sure if it is related to future rheumatoid disease later in life or not.
I hope your son is feeling better soon,
Meds: Plaquenil 400mg; Tramadol 100mg 3-4x daily; Amitriptyline 10mg; Neurontin 200mg; Steriod Cream and Mouth Rinse for tongue and mouth ulcers; Hydrocodone 5/500 prn for severe pain
Post Edited (recentRA) : 6/23/2015 2:40:03 PM (GMT-6)