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Thread: Diagnosis

  1. #1
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    Default Diagnosis

    I first started to get sick around the middle of February 2003. I was taking a 2 year diploma program in Water Resources Engineering Technology at a local technical school at the time. I was in the second semester. The first symptoms I had were like that of a cold, sore throat, plugged sinuses, run down feeling, etc. I didn’t pay much attention to it and just upped my intake of garlic, ginseng, echinacia, vitamin C and D, etc. By the end of the month I felt almost 100% better. But then a few days later all the symptoms came right back. By the middle of March my joints and muscles were aching all the time, my sinuses were almost completely plugged, I was extremely tired all the time, and started to have quite a headache all the time. I saw 2 local GP’s in the span of a week and both said in was a bad case of sinusitis and gave me prednisone, some antibiotics, and nasal sprays. By the end of the month I was much worse and was going to a local health food store for my supplements and advice. I got a book there called Healthy Immunity by Lorna R. Vanderhaeghe. After reading this book and talking with many other people I came to the conclusion that maybe I had some autoimmune disease.

    I wrote my last final exam of the semester on April 2 but still had to participate in a survey camp that ran to the end of the month. My sinuses were so plugged by this time that I couldn’t breathe through them and would lay in bed and pour salt water down my nostrils to try and loosen it up a bit. It was like concrete in my sinuses. I was also using a tiny metal spoon to dig around in my nostrils to get stuff out. On April 4 when I was doing this in the morning it felt as if things were loosening up. I continued to work at them for quite a while. Then I tried blowing my nose very gently. I then had a very severe pain in my right ear as if a nail was driven into my eardrum. My hearing prior to this had gone down just a little over a couple of weeks. After blowing my nose my hearing in my right ear went down quite a bit. I went to the ER and the doctor there said the same thing as the other 2. I told her that she was wrong and that I needed to see a team of specialists to find out what autoimmune disease I had. She just gave me the same stuff as before with the other 2 doctors and some ear drops. I told the school I was no longer able to continue on and the next day I took a bus home to my parents house as I was unable to drive.

    I got home and saw my mom’s GP and told him everything and he said the same thing. My parents were quite worried. 2 days later the pain got so bad that I told my dad to admit me to the hospital so I could get demmorahl or morphine. The next day I saw an ENT who was visiting and he did a CT scan of my head and said he has never seen sinuses that plugged and hard before. He also said that it is just a bad case of sinusitis. He said that tubes in my ear drums would allow the fluid in the inner ear to drain out and bring back my hearing. I stayed another 7 days and then was released early one morning as to me and my parents surprise. The ENT wanted to see me in Saskatoon, 3 hours away. We thought it was to have the tubes put in but he just wanted to see me in his office. The highways that day were covered in thick, chunky ice and by this time I could barely walk. I never saw my parents so mad before. The tubes were scheduled to be put in on April 29. My mom was talking to her sister who is a nurse about the whole situation. I was also coughing up bloody mucus starting while I was in the hospital. By April 23 I was so bad my dad decided to take me to the ER in Saskatoon. I was diagnosed in 20 minutes by a doctor who is now my Nephrologist. They first wanted to do a biopsy on my lungs and then on my kidneys, but they decided it was too dangerous and went for the sinuses instead. They had to clean out the sinuses anyway. It proved positive and the next day I started on 125mg of Cyclophosphamide, 60mg of Pred, and Cotrimox. I was released 3 weeks later. I went from a very healthy 155 pounds to a very sickly 95 pounds in less than 2 months.

    The ENT I first saw is still my ENT. I have had 3 relapses but have definitely learned a lot about this disease. I am very fortunate to have good doctors that listen to me.

    I could have gone into much more detail making this several pages long but most of you have heard much the same story before.

  2. #2
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    Sorry to hear that you had such a bad time, but your story is by no means unusual as I'm sure you know.
    My own symptoms were very similar to your own, but the saga continued for over a year with numerous sinus wash-outs and finally a "bi-lateral Caldwell Luk" operation to remove my sinus linings. Ouch!!
    It was only when I went into renal failure that a visiting consultant suggested Wegener's.

  3. #3
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    I feel compassion for those of you with sinus symptoms. Just having a simple sinus headache is bad and makes it hard to concentrate, relax or want to do anything. I don't know how you do it.

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    Hey there and welcome! I got sick around the sam time you did. Sinus is where mine started too. They got so stuffed up my eyes were not opening properly. They weren't nearly as bad as you so I can only imagine that kind of pain. Ouch! Pity that you had to go through so many different docs to get a diagnosis but I'm glad you did!!

    How are you doing now?
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    Currently but not permanetly residing in Canberra, Australia.

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    I too started with sinus problems and still have problems. mine are nothing compared to what you went through. But annoying and difficult breathing non the less.
    My sinus problem eventually continue by adding problems with my trachea and now I wear a trach.
    (and still suffer from sinus clogging)
    My rheumy diagnosed me right away so I was also lucky and I started MXT in Jan. ( I was the delay in getting treatment as I was thinking allergies...silly me!)
    Since starting MXT in Jan. I recently had blood work done and got the results back yesterday. I am not able to tell you all the numbers (because I am at work and did not bring it with me), but it does appear the MXT is starting to work as the ???? number was 19 and is now 16. ( it appears this number, to be norma,should be below 9 or better yet 6)
    I see my rhuemy in 2 weeks and my ENT in a month so maybe more answers then.
    Advice welcome!
    Lisa

  6. #6
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    Hi

    Sounds like you're referring to your ANCA or PR3 number. I have been told that for non-weggies a normal result is 0 or 1, for me to be classed as in remission it needs to be under 5.

    I thought I was getting close as it dropped to 23 but it has since shot up to 176, so I'm back on the cyclophosphamide and increased pred for a month at least to try and regain control.

  7. #7
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    Quote Originally Posted by Luce View Post
    Hi

    Sounds like you're referring to your ANCA or PR3 number. I have been told that for non-weggies a normal result is 0 or 1, for me to be classed as in remission it needs to be under 5.

    I thought I was getting close as it dropped to 23 but it has since shot up to 176, so I'm back on the cyclophosphamide and increased pred for a month at least to try and regain control.
    Ya know, Luce, this is the first time I've actually noticed what the normal ANCA reading should be. That's weird. Mine's currently at 25 so I have a little way to go yet. How bizarre. It's one main telling factor of WG and I had absolutely no clue what normal was. I'm gonna have a think and a good lie-down.
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    Diagnosed March 2003.
    Currently but not permanetly residing in Canberra, Australia.

  8. #8
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    Wow, I'm really surprised no one has told you about that. I've been using it as my main goal, although I'm not sure how healthy it is to get caught up in numbers. It is a good way to show people my progress though - the number was 329 when I was admitted into hospital.
    As I understand it PR3 is the protein that is produced when WG causes the body to make these autoantibodies which form granulomas and start eating away at our sinuses, kidneys and lungs. If you don't have WG then your body doesn't produce any PR3 so you should get a negative result.
    I also believe the number refers to the amount of washes it takes to rid your blood of the PR3 proteins. So at first it took 329 washes (or filtrations perhaps) before my blood was clear of the PR3.

    This is something I quite often have to explain when I go to the pathology lab for a blood test. My doctor tends to write the test as PR3 titre and they don't know what this test is - I have to explain it's part of ANCA and then they get it.

  9. #9
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    Thanks Luce, I didn't know that either!! I'm stunned how much I don't know about this critical test. I thought that number was the level of 'x' in the blood and figured it'd come down evenutally LOL. I can't remember what my original measurement was when I was diagnosed. I was probably told but I was concentrating on breathing at the time
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  10. #10
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    I gave up watching my test results long ago and prefer to just go by how I feel. I sometimes ask about my kidney function (transplant) because I see it as my lifeline and I also know that my Potassium levels are always too high. When I used to watch them, my ANCA level never followed what was happening to my body.

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