MPA and tendonitis

[amms43]

Does anyone know, is it possible that sudden development of synovial tendonitis in a wrist could be a vasculitic inflammation?

[PMRpro]

It can happen in PMR (polymyalgia rheumatica) but it is usually bilateral.

[VasculitisQueen]

I have had a lot of problems with my wrist since my diagnosis. I always assumed my pain was a result of long-term prednisone use. I had an MRI on my wrist that came back clear, but my physical therapist treated it like triangular fibrocartilage complex, basically a torn ligament. I continue to have problems with this wrist everyday; however, I think that the pain in my wrist is different than my overall joint pain.

[amms43 in reply to VasculitisQueen]

Thank you very much for that helpful information.

[2534]

My whole illness started with tenosynovitis in one wrist. This was injected with steroid successfully for some years but my rheumy thought it was an inflammatory arthritis. It swelled up quite badly after some years and eventually nine years ago I was diagnosed with rheumatoid arthritis although seronegative. I also separately had a diagnosis of secondary erythromelalgia ‘burning feet syndrome’ i.e. not a genetic mutation but a consequence of inflammation. Five years on I was diagnosed with nerve vasculitis after a nerve biopsy. I have been with Prof Jayne at Addenbrooke’s for two years. He said these diagnoses are not precise and neat but can present differently in different people. He also raised the possibility that I might have rheumatoid vasculitis. Certainly it appears that something ‘rheumatoid-y’ has been at work as I have had a hip and a shoulder replaced and the surgeon said it presented like rheumatoid rather than osteo-arthritis. So these categories are much vaguer and woollier than they sound. Going to someone like Michael Lunn at the National Hospital for Neurology (specialises in inflammatory neuropathies) or Prof David Jayne at Addenbrooke’s might speed up a correct diagnosis. All the best!

[amms43 in reply to 2534]

That is most helpful. Many thanks. I am already a patient of Ptof. Jayne so I will take that route and see if this might be a slight 'flare' although I have been pretty good on Rituximab. My hand / wrist is quite swollen again for the second time and I have pins and needles through my fingers and thumb.

[jane1964]

Hello I have MPO vasculitis and sjogrens and for me tendon symptoms were definitely part of my symptoms ultrasounds of various joints were normal but once on azathioprine and hydroxychloroquine My tendon and joint symptoms improved a lot.