Thanks for the replies. Actually, Sjogren's and Lupus are extremely hard to diagnose. It's very typical to wait a decade or more for diagnoses, all the time experiencing mild to more severe problems that all seem unrelated. In my case, my dry lungs, sinus infections, dry skin, dry eyes, diverticulosis/IBS, asthma, dental problems, and dry throat all seemed to be separate problems having different causes. Sjogrens affects women more than men and a diagnoses is primarily based on the dryness of your eyes, and many doctors seem reluctant to diagnose this condition. In my case, my ANA go really high and I get sick and a lot of pain in the lymph nodes and joints. In the case of heppers, they expect us to have swollen glands, even years after tx. Swollen glands can be related to anything. I think there will be an explosion of more people being diagnosed with these conditions as physicians become more aware of the connection between Hepatitis and/or tx and these conditions. I was told I had fibromyalgia and offered only antidepressants, even though my ANA was quite high and I was having some kind of immune system attack. I was warned by my hepatologist about the possibility of developing a lupus-like condition as a result of tx (or hep, told at time of tx) back in 1994 and the product insert addresses potential immune system attacks, but even though I have very apparent autoimmune problems (50% pigment loss with some hyperpigmentation, arthitis, diabetes, rashes, and multiple allergies), it wasn't until a good rheumatologist that also knew a lot about hepatitis tested my eyes for moisture that I was investigated. I do not have the SSB antibodies which 75% of Sjogrens people have because I have a Sjogren's like/lupus like condition resulting from a disease or medication. I do, however, benefit from all the tx for these disorders and have actually been doing a lot better, so the diagnosis was a good thing. The drugs even out my screwed up immune system, are fixing my fatty liver, taken me off regular sinus meds for chronic sinusitis, are preventing blindness from dry eyes, help me swallow easier, totally relieve my IBS symptoms and perhaps in part the condition, and helped my swollen face and neck by making sure my salivary glands drain properly and keep my teeth from developing excess tartar and decay. Though I have multiple drug allergies and trouble tolerating drugs, these meds have been surprisingly easy to tolerate and speaking with those on the lupus forum, a lot of the meds are like that. I will be put on plaquenil, which is a quinine derivative, and the side effects are about nil with that, but it will even me out more and prevent more systemic attacks by my immune system. I'm really happy I have a rheumatologist that is hip to hepatitis aftercare because I'm finally starting to feel like my old self (before tx) or perhaps, better than even that. I was probably having immune system problems before tx and that's why I had so much trouble on tx. My labs have normalized, my liver levels are normal due to glucophage, and sed rate is better due to evoxac, which has a side effect of weight loss, which for me is good. I'm just glad my rheumatologist was willing to try to help me and if someone is having similar problems, not to give up but keep struggling to get to the right doctor and know there is relief out there for some of this. This is a really underdiagnosed problem on the whole, because it effects women more than men, and we tend to get told everything is in your head or brushed aside or told we are just depressed. I never thought these disparate problems had a single cause.
Thanks again. It's good to hear from you both. Hep93, I'm glad you are doing better. I prayed for you and will continue. Thanks Jennifer. No rush.
Thanks, Cured4. Lots of info in your post. I'm glad that you are feeling better these days.
Connie
Hi Cured,
I'm sorry your having a rough time. I know it must be frustrating. I found a good link about the causes of Sjogren's.
Diagnosis: Lupus and Restless leg syndrome 1990, RA, Asthma and Fibro 1994, Sjogren's and Raynaud's 1995, Diverticulitis 1998, Minor stroke 2004, Atherosclerosis 2004, Seizures march 2005
JOB 5:18 For he wounds, but he also binds up; he injures, but his hands also heal.
Marji --Evoxac, HCTZ, Glucophage, Klonopin, Ultram, Robaxin...
--Kara, one of the "givers of pain and delight", aka woman of Sigma Draconis VI, "Spock's Brain" episode 56 season 3 of Star Trek
Marji --Evoxac, HCTZ, Glucophage, Klonopin, Ultram, Robaxin...
--Kara, one of the "givers of pain and delight", aka woman of Sigma Draconis VI, "Spock's Brain" episode 56 season 3 of Star Trek
Marji --Evoxac, HCTZ, Glucophage, Klonopin, Ultram, Robaxin...
--Kara, one of the "givers of pain and delight", aka woman of Sigma Draconis VI, "Spock's Brain" episode 56 season 3 of Star Trek
actually its a good thing that the gastro dr didnt take on something he knows nothing about,sometimes drs have a hard time admitting they dont know all! good luck with finding a hepatologist and also make sure your family dr knows enough about your conditions so him and the hepatologist are on the same page and both keep an eye on you:) hope they find a way to make life easier for ya
trish
Hang in there!
Connie
I have been on Viread for 2 years and my viral load non-existent since last year, but at the same time (during a hectic and stressful time) all these mysterious symptoms popped up.
My hepatologist says Sjogren's is very common in people with Hepatitis. My rheumatologist thinks the liver proteins are messing up the bloodwork and that I don't have an auto-immune issue. I'm at a loss in where to go from here. I still don't feel well (physically and occasionally cognitively)
I hear John Hopkins has an excellent department specializing in Sjogren's Syndrome.
Lupus '05, Sjogrens, fibro, major depressive disorder, CNS problems, GERD, colitis, 1st stage kidney disease. Many meds: better living through chemistry
Donna
Sjogren's Moderator
I haven't found any posts in any forum about patients with chronic Hep B with an autoimmune issue, but am glad at least it seems like there's some sort of connection in Hep C. With the research that I've found, it seems like whatever goes on in the Liver is the opposite reaction of the autoimmune system. Meds that treat the Liver speeds up the immune system. And yes, my hepatologist said that one chronic condition can exasperate another one. I believe that I have having a lot of the symptoms a year or two before I found out that my viral load was elevated. Overall, it's been difficult to determine if the symptoms are coming from the liver or from an autoimmune issue, there's a lot of overlap.
My internist is not happy that I'm still dealing with finding a solid diagnosis a year later, especially since even though I've improved, I still have certain worsening symptoms. Since the bloodwork now doesn't show that Sjogren's anymore, and that somehow my hepatologist (not rheumatologist) randomly checked for drug-induced Lupus (a weak positive), my internist is highly recommending that I stop taking Viread, thinking it's the liver medication causing an autoimmune reaction.
My rheumatologist doesn't seem to be in any rush and doesn't think I have "an underlying autoimmune issue." (I also tested weak positive for MCTD)
My hepatologist believes it is an autoimmune issue. The end result is that I still feel crappy and neither specialist seems to know what to do or is waiting for worse symptoms to show up, to make a proper diagnosis. Wouldn't you want to prevent damage? I'm reading the book The Immune System Recovery Plan and seeking gentle solutions to slowly feeling better.
Lupus '05, Sjogrens, fibro, major depressive disorder, CNS problems, GERD, colitis, 1st stage kidney disease. Many meds: better living through chemistry
Donna
Sjogren's Moderator