I have always had intermittent neck and lower back pain from mva in my 20's. Five years ago an mva left me with intermittent hip and shoulder pain and fatigue - all bloodwork negative. Last summer the wrist, hands, ankles, and feet started getting swollen, stiff, and tingling, hip pain with only walking a block, and fatigue even with just taking a shower. It was the brain fog that finally made me go to a doctor. Now ANA positive, RF positive, CRP 1.5 but all more specific testing negative. Slight swan neck deformities noticed on some fingers. Rheum believes I have RA(son seronegative RA) but questions if I have Lupus also (sister Lupus and I use to get circular red patches and mouth sores before starting plaquenil). Since the plaquenil started in December, I rarely notice swelling except mildly on hands and feet when I am too active (try to walk over one mile, or travel), usually just noticed in the morning. I can't walk a mile, ride the bike more than ten minutes, or sit in a car long without fatigue, stiffness and pain coming back. Six months on Imuran didn't help so will be trying methotrexate next. Rheum sent me for hand/wrist sono but radiologist said there is no sign of bone erosion or even inflammation....even with having pain as he pressed on my joints with the probe. Is this normal with early RA, is this something else, or is it 'just in my head'? I appreciate any input....for I am just confused and frustrated. Thank you
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