Hi, I am on humira for my RA and have just had a scary few weeks where I had a full blown Addisons crisis ending up in hospital for IV fluids and drugs. I have polyglandular autoimmune disease ( basically an identified genetic disease with multiple autoimmune diseases) and what was thought to be secondary Addisons beacause of steriods for RA is in fact very much primary Addisons due to autoimmune disease.
It turns out I had a massive urine infection which had been hidden because of the humira, so I was unaware I was poorly and ended up in crisis. Now I know I have to be very careful of infections because I need to double my steriods to avaid another crisis I am really worried about missing something again.
I don't want to end up paranoid, but does anyone else have some some tips or management advice about identifying infections when you are on DMARDS, biologics or similar drugs? Any experiences would be gratefully received, thank you.