Can multiple sclerosis be mistaken for rheumatoid arthritis? Multiple sclerosis and rheumatoid arthritis share similar symptoms, so one condition can be mistaken for the other. However, this is rare because diagnostic testing methods vary between two conditions.
The main difference between MS and RA is the area of the body affected by each. In RA, the joints are affected. In MS, there is damage to the central nervous system, which consists of the brain and spinal cord.
Lupus. Lupus, or systemic lupus erythematosus (SLE), is a potentially fatal autoimmune disease that affects many parts of the body, including the joints, skin, blood vessels, and internal organs. "The arthritis of lupus can mimic very closely that of rheumatoid arthritis," noted Dr.
Signs and symptoms of rheumatoid arthritis may include: Tender, warm, swollen joints. Joint stiffness that is usually worse in the mornings and after inactivity. Fatigue, fever and loss of appetite.
Nonetheless, RA is not the only condition which includes joint inflammation, fever, and fatigue as its symptoms. In fact, these are also common in several other conditions like Fibromyalgia, Osteoarthritis, Ankylosing Spondylitis, Psoriatic Arthritis, Gout, Lupus, and infectious arthritis.
It can sometimes be mistaken for septic arthritis, osteomyelitis, and some kinds of inflammatory arthritis. Does MS cause joint inflammation? Multiple sclerosis causes joint pain in about half of the people with the condition. Joint pain might trigger muscle weakness, muscle spasms, and balance issues.
Joint pain, specifically in the knees and hips, is very common in people with multiple sclerosis (MS). It is usually due to a nerve-related or muscle-related manifestation of MS rather than degeneration of cartilage or inflammation of the joints, as seen in rheumatoid arthritis, osteoarthritis, or lupus.
Fibromyalgia is often diagnosed and managed by a rheumatologist, which is an internal medicine doctor who has specialized training in joint and musculoskeletal diseases. Multiple sclerosis is diagnosed and managed by a neurologist, which is a doctor who specializes in treating disorders of the brain and nervous system.
There are also multiple infectious entities that mimic MS including; progressive multi-focal leukoencephalopathy (PML), Toxoplasmosis, Tuberculosis, Herpes Simplex Virus, Cytomegalovirus, Varicella zoster virus, Epstein Barr virus, Cryptococcus and Human immunodeficiency virus.
Magnetic resonance imaging (MRI)
It's very accurate and can pinpoint the exact location and size of any inflammation, damage or scarring (lesions). MRI scans confirm a diagnosis in over 90 per cent of people with MS.
People should consider the diagnosis of MS if they have one or more of these symptoms: vision loss in one or both eyes. acute paralysis in the legs or along one side of the body. acute numbness and tingling in a limb.
Tightness or stiffness of the muscles, called spasticity, is caused directly by MS. Spasticity, will alter walking and cause pulling on the joints. This can result in pain typically in the ankles, knees, hips and back.
There are no specific tests for MS . Instead, a diagnosis of multiple sclerosis often relies on ruling out other conditions that might produce similar signs and symptoms, known as a differential diagnosis. Your doctor is likely to start with a thorough medical history and examination.
At least half of those living with multiple sclerosis experience MS-related joint pain. Joint pain is associated with other symptoms of MS, including muscle weakness, balance and coordination issues, and muscle spasms. A person should see their doctor if they are experiencing new or worsening symptoms of MS.
While MS doesn't directly affect the joints, it does affect other areas that can lead to joint and body pain. For example: A loss of energy leads to physical deconditioning, resulting in weakened and vulnerable muscles. A loss of balance and stiff limbs results in an uneven gait that affects the joints.
It may be localized (in one small area) or encircle the whole body. Some people describe the MS hug as a sharp pain,4 whereas others describe it as dull or more neuropathic in quality, like burning, tickling, or tingling.
While there is no definitive blood test for MS, blood tests can rule out other conditions that cause symptoms similar to those of MS, including lupus erythematosis, Sjogren's, vitamin and mineral deficiencies, some infections, and rare hereditary diseases.
Here's where MS (typically) starts
Optic neuritis, or inflammation of the optic nerve, is usually the most common, Shoemaker says. You may experience eye pain, blurred vision and headache. It often occurs on one side and can eventually lead to partial or total vision loss.
The first step in diagnosing MS is taking a thorough medical history. Your doctor will ask you about your symptoms, including when they began and whether you've noticed any patterns or triggers. They may also ask you about: injuries, diseases, or other health conditions with which you've been diagnosed.
Numbness of the face, body, or extremities (arms and legs) is often the first symptom experienced by those eventually diagnosed as having MS.
This pain is described as constant, boring, burning or tingling intensely. It often occurs in the legs. Paraesthesia types include pins and needles, tingling, shivering, burning pains, feelings of pressure, and areas of skin with heightened sensitivity to touch.
Neurological examination
Your neurologist will look for abnormalities, changes or weakness in your vision, eye movements, hand or leg strength, balance and co-ordination, speech and reflexes. These may show whether your nerves are damaged in a way that might suggest MS.