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Hughes Syndrome APS Forum

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Is it APS or MS or both?

mitzygaynor profile image
21 Replies

HELP! I wander if any of you have had a similar experience.

I was diagnosed with MS a year ago following an episode of tingling/numbness in left hand/arm.I had an MRI of my brain and cord and had 7 lesions. I'm not on any treatment at the moment but feel tired, weak, have visual disturbance, buzzing down legs and regular migraine with zigzag vision and flashes for approx 20 mins prior to the headache starting. I regularly research new medical information and found an article on the MS resource Centre website stating that Hughes syndrome can mimic MS.

I suffered 2 miscarriages in 1996 and was diagnosed with APS and was told that this condition would only affect me in pregnancy. I became pregnant in 2004 and was treated with aspirin and heparin which I took throughout pregnancy and for 8 weeks after the birth of my daughter. I visited my GP today asking to be referred to St Thomas' for a rheumatology assessment based on this uncertainty of diagnosis and for further management. My GP checked correspondence from my neuro Dr. and anticardiolipin antibodies were negative when checked a year ago! My G.P. is now reluctant to refer me on this basis but I really feel that my symtoms may be due to APS which can be treated and not MS!

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mitzygaynor
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21 Replies

Are you tellng me that unless your GP will refer you, you can't see another doctor?

mitzygaynor profile image
mitzygaynor in reply to

Hi, GP wanted a week to get more info. before he would make a referral, ie, old notes. He's not convinced my tests were positive for APS in 96 when they are negative now!

Seeing him tomorrow morning. Will be armed with loads of info. and going nowhere until I get my referral to Prof. D'Cruz at St Thoms!

nicolebarks profile image
nicolebarks

I have almost the exact same symptoms as you and was sure I had MS until I was diagnosed with APS. My symptoms went away when I started taking my meds (aspirin, plaquenil). Are you still having the symptoms?

mitzygaynor profile image
mitzygaynor in reply to nicolebarks

Hi

Put myself on 75mg aspirin about 10 days ago, no change in symptoms yet.

mitzygaynor profile image
mitzygaynor in reply to nicolebarks

Hi Nicole

Did you have a diagnosis of MS?

traceylou profile image
traceylou

I go to London where I have been tested positive for the LA after weakly positive tests in my hometown. I have suffered from several small strokes and a larger CVA. Now here's the thing, reviewa of my brain scan have shown as well as the vascular events, some inflammatory lesions as well? Question MS aswell. Has anyone been diagnosed with MS and APS, is it possible to have both?

miley profile image
miley in reply to traceylou

HI , I have been diagnosed with M.S. for 18 years I am on so much medication, for my m.s. recently had major back surgery and unlucky me developed D.V.T, which was a shock , so ended up having lots of blood tests, to try to find the cause, blood test showed protien s, and now shocked have tested positive 3 times for APS, so tomorow I meet with the Hemotologist to find out, what is best for me next, I would love someone with plain language to let me know what is the best course of action as I want to get on with life, I have booked my trip to go diving at chrismas, we have one life, so I will scream and shout until, I get the help I need, at the moment really not well, sorry to rant but why do we all have to fight so hard, for the right treatment, it should not be like this, sorry everyone

Angela

mitzygaynor profile image
mitzygaynor in reply to traceylou

Hi

thanks for the reply.

I think you can get lesions with APS that look like MS that can fool the best of neurologists!

Mrmcb profile image
Mrmcb in reply to mitzygaynor

Yep, happened to me...

Manofmendip profile image
Manofmendip

Hi Mitzy

I agree with what others have said. Push for a referral either to St. Thomas's or to see Prof Hughes or one of his team (privately) at the London Lupus Centre at London Bridge Hospital.

Good luck & best wishes.

Dave

anniesensi profile image
anniesensi

Hi, here's my story of having MS, and recently being diagnosed with APS. at London Bridge.

I've copied it in from a post I placed as my own question, but it may help answer some of your questions.

"Hi, I have MS, I was dx when I was 28 - now 37. It is a definite diagnosis. I had what I thought was a killer MS relapse 2 and a half years ago, and have been in a wheelchair ever since. I had a CT scan, told no, not a stroke and home I went packed full IV of steroids.

Then, last October - I'm now 37, I had an arterial clot in my leg, almost a full amputation. I have since had 3 more aschemic attacks and two lungs filled with blood clots.

So, this has been one event after another since October. I was still on bed rest for the PE's when I was ambulanced to St Thomas's for another clot in the leg.

I had an MRI at St Thomas' which showed that the MS relapse, that the paramedics believed to be a stroke, but was not picked up by the particular dr I saw, was, indeed a stroke.

Is it usual to have so many clots in such quick succession? Is it unusual that my first clot was a stroke, age 33?

I suppose I'm asking the impossible. I'm looking for a prognosis. I'm really scared, but I can take on anything if I know what it is.

Also, I'm normal weight for my height, but needing 12mg warfarin and 2 injections per day of Clexane just to keep my INR up. I have to have an INR of 3 - 4. I have been put onto a low dose statin even though my arteries are not firred up.

And the MS marches on obediently with this new APS.

Thanks all for listening.

Lastly, every nurse, doctor, pharmacist, dietician, physiotherapist, neurologist......... that saw me at St Thomas' were the kindest, most professional people I have ever met in my life. Thank you all, if you ever look here."

mitzygaynor profile image
mitzygaynor

Success!

GP has agreed to the referral to ST Thomas's.

I'm seeing Prof D'Cruz.

Anybody any idea what the waiting time for appointments is?

Stereolover profile image
Stereolover in reply to mitzygaynor

I’ve just come across this old comment. I was diagnosed with MS in 1996 and APS approximately 10 years ago. I was under the care of Prof D’Cruz - one of the nicest doctors I’ve met. I spent 5 days in St. Thomas’ undergoing various tests. Apparently the LP was the deciding factor to diagnose me with Hughes. So I have both and have been taking Clopidogrel ever since. My neuro recently told me (when I asked) that to have both MS and Hughes is extremely rare. In fact the only reason I’m labelled with MS is because Hughes doesn’t affect your eyesight. I got optic neuritis when I was 25. I searched for some info as soon as I got home and I read several articles that said yes, your eyes can be affected. Now I’m just confused. Do I have Hughes or do I have both? Taking Clopidogrel hasn’t made me any better so maybe I’m an awkward one. It’s such a shame that all the neuros I’ve seen since ‘96 aren’t nice people at all. In fact I strongly despise them. Prof D’Cruz however is so nice, understanding and kind. I don’t know what I should do next. Perhaps there is nothing I can do but I deserve to know what’s going on because it’s my body and my life. I need to be told in layman’s terms. I had a MRI on my brain and still waiting for the hospital to write to me.

I’ve never been offered any DMD but that may be a good thing, who knows?

Hope you’re happy with your treatment and results - take care!

david1970 profile image
david1970

Hi,

I am having a similar situation. The brain MRI is showing a sign of denyelination and I am seropositive for all the antiphospholipid antibodies.

After that two tests showed antibodies, I receive aspirin.

Lately the situation worsen, I have more fatigue, more headaches, tingling/numbness in my left arm (especially the small finger), and for one day I a speech problem. These are been checked at the moment and I will meet with the neurologist next week. The hematologist is waiting for the neurologist's diagnosis to decide if to put me on Warfarin.

Lure2 profile image
Lure2 in reply to david1970

Hi David 1970,

I am glad you have found this site. We all have APS here. I can hear that the doctors are waiting to give you perhaps more than aspirin.

We are not Medical trained here but it sounds as if you need more that Aspirin. Those symptoms sounds familiar.

I Think you should look for an APS-doctor. A specialist. Where are you from? Who diagnosed you? If you tell us that it is easier for us to help you.

Look at hughes-syndrome.org/ selfhelp/signs and symptoms etc etc.

Please let us hear again from you.

Best wishes from Kerstin in Stockholm

david1970 profile image
david1970

My hematologist is asking the neurologist if the problem is ischemic. If it is she wants me to stop aspirin and start Warfarin/Coumadin.

david1970 profile image
david1970

I forgot to thank you for your answer. Most the symptoms I have could be both MS and APLA. The only thing that cannot be MS related is a low platelets count.

david1970 profile image
david1970

I forgot to thank you for your answer. Most the symptoms I have could be both MS and APLA. The only thing that cannot be MS related is a low platelets count.

Lure2 profile image
Lure2

Hi again,

Did you get the antibodies for APS?. I do not know what seropositive is. Who gave you the diagnose?

If you have got the antibodies and they are not sure of MS it ought to be APS. My neighbour has MS and I have asked her several times if they are sure. She says they are quite sure. As I have told you I am not Medical trained but I know this illness pretty well though.

I absolutely think you shall see an APS-doctor in your case before they decide something without knowing APS or be remitted to one on our list here. You are from England are you? You did not answer who diagnosed you. It is a big decision to start warfarin and especially if you do not even need it. There are other drugs also. Lupus, Sjögren, Thyroid often go hand in hand with APS. We know that.

We know how very few doctors that are wellknown with APS.

Take the copies of you blooddraws with you when you see your APS-doctor (the specialist)

Good luck. Please tell us how it goes.

Kerstin

Lure2 profile image
Lure2 in reply to Lure2

Hi again, Did you see what Manofmendip (Administrator) suggested 2 years ago. I know it takes over 1/2 a year to see the Professor but if you get a good referal from your doctor to the others there perhaps. I am from Sweden so this is not my area so to say.

Kerstin

Mrmcb profile image
Mrmcb

ACL antibodies will come and go but that doesn't mean you don't have APS. Two positive tests confirm that diagnosis. See my post Misdiagnosed as MS - lesions but no clotting...was also told (wrongly) that it was only a pregnancy related condition.

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