My initial diagnosis was unspecified inflammatory arthritis in 2009 but rheumatologist felt my symptoms were Lupus-like. I moved hospitals in 2011 due to difficulty in traveling to the first hospital. My current rheumatologist diagnosed me with seronegative RA. She was off sick for a few months and I recently saw her colleague who suggested anti-TNF treatment (cimzia) but also wrote in her letter that she feels my diagnosis is likely to be RA but she was not certain.
I have asked repeatedly that, given my nail psoriasis, (confirmed by 2 dermatologists) is my diagnosis is more likely to be PsA, therefore should a different anti-TNF be chosen? It's never been answered. I've also asked to have more antibody blood work done but they've refused because my ANA was negative 2.5 years ago. However, at diagnosis, I had a whole battery of bloods done to test for various other types of autoimmune inflammatory arthritis. I would feel more at peace if they were repeated. I am unwilling to be plonked on an anti-TNF for RA when I have Lupus symptoms (as confirmed by my 1st rheumy) purely because it's too expensive to check!
I have private insurance and I'm wondering if it's worth getting another opinion purely to get the bloods done. Whatever is wrong with me, it's disabling me and causing my damage as evidenced by MRI scans. Any thoughts and opinions would be gratefully received! Thank you.