Swelling and pain in arms and hand

Question

Asked for Female, 30 Years

I am having pain and swelling in both of my hands since 2 months,did x-ray, NCV, Blood test(RF factor , CBC, ESR, HLA B27), everything came normal. First the pain started in left wrist with no swelling, then moved to entire hand and now in both the hands with frequent swelling. Pain starts from elbow n increases towards hand and palm/ fingers, extreme hair fall and occasional fever has started since 2-3 weeks, consulted orthopedic, neurosurgeon and now rheumatologist. Got another blood test done (attached reports) 1. ANA by immunofluorescence, got borderline nucleolus results. 2. Anti cyclic citrullinated peptide Please suggest what can be the possible reason for these symptoms and reports

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Dr. Bharani Kumar Dayanandam

Joint Replacement Surgeon 29 yrs exp Chennai

Could be suffering from Sero negative inflammatory arthropathy. Would advice to consult a Rheumatologist.

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Dr. K Shanmuganandan General Physician 37 yrs exp Chennai · Accepted Answer

Dr. K Shanmuganandan

General Physician 37 yrs exp Chennai

Hi U have early arthritis with ANA positivity Pl do a test called ENA to see significance and consult rheumatologist

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