I am on a mission today, I am going to research every MS mimic that I can and so today I have put on my scientist coat.
I have already been ruled out for the obvious ones such as Lyme and B12 deficiency via blood tests so I have decided that since I am not back to my Neuro until April to do some more research. Since my Doctor went back on the fence and changed my diagnosis to Probable MS in January (after I was officially diagnosed in December) I have been left in a horrible place of "what if".
What if all the other tests come back negative/normal? What if the Neurologist can't explain what is wrong with me? What if my symptoms get worse and I have nowhere to turn? What if, what if?!
Of course nobody WANTS to be told they have MS but personally I think being left in limbo is worse. Somebody recently commented that the only difference between getting an official Dx of MS versus one of Probable MS is merely documentation. I totally agree however without the i's being dotted and the t's crossed I dont get an MS nurse or any medical support. I need it to be definitive and so today I am going to try to get one step ahead of the game in the event that the further tests come back with nothing.
You might want to grab a cup of coffee or something as this one is going to be long, not that my blogs are ever really short as one thing that I know I suffer with is verbal diarrhoea.
I am researching what other conditions can mimic MS but only the ones that have the presence of MS-like lesions of the brain's white matter on the MRI, which is what I have. So the first one I have come across is:
Polyarteritis Nodosa.
Reading the information on this illness, I think that SOMETHING would have shown up in my blood tests so I think I can safely rule it out. Also, another major symptom of this one is that there is usually a weight loss of equal to or greater than 4.5kg. I wish!!!! I have gained weight and am struggling to get it off (thanks heavy, tingly, exercise hating legs).
Next I come to:
Lupus erythematosus
Now this one rings more true to me on the symptom list (I will say yes or no where applicable).
- Common symptoms include: Chest pain when taking a deep breath - Sometimes and that is why I am under a cardiologist.
- Fatigue - always (but a very common MS symptom too)
- Fever with no other cause - no, not this one.
- General discomfort, uneasiness, or ill feeling (malaise) - every day!
- Hair loss - YES!! I even blogged about it.
- Mouth sores - Nope.
- Sensitivity to sunlight - Never, I LOVE the sun although I haven't been in it since my symptoms kicked in bad.
- Skin rash -- a "butterfly" rash over the cheeks and bridge of the nose affects about half of people with SLE. The rash gets worse in sunlight. The rash may also be widespread. - No
- Swollen lymph nodes - No
- Brain and nervous system: headaches, numbness, tingling, seizures, vision problems, personality changes - YES!
- Digestive tract: abdominal pain, nausea, and vomiting - right-side abdominal pain and nausea but no vomiting.
- Heart: abnormal heart rhythms (arrhythmias) - yes, again under cardiologist.
- Lung: coughing up blood and difficulty breathing - no blood but trouble getting enough air in my lungs sometimes. I always put this down to an MS Hug.
- Skin: patchy skin color, fingers that change color when cold (Raynaud's phenomenon) - Yes, suffer from Raynauds often.
Hmmm, so where does that leave me with that one? Quite a few yes answers here, will keep this in my top pocket in case I need further investigation. I am sure you don't have to tick all boxes on a symptoms list do you?
Syringomyelia
This one is a condition in which a cyst forms within the spinal cord, I will wait to see what my spine MRI shows but this one doesn't ring true for me either.
Other conditions that are listed but just dont sit right for me or would have shown up in one the billion blood tests I have had are:
- Tropical spastic paraparesis
- Some cancers
- Certain tumors that compress the brainstem or spinal cord.
- Progressive multifocal leukoencephalopathy
- Stroke
- Neurosyphilis
- Spinocerebellar ataxias
- Pernicious anemia
- Diabetes
- Sjogren's disease
As you can see I am going around in circles and perhaps a bit mad. The thing is, I am sat here with my body doing weird and whacky stuff with no definitive answer as of yet. I was happier in December when my Neurologist said that yes, it is MS. I least I KNEW! Now that my diagnosis has changed but my symptoms haven't it is so frustrating. I just want answers and I want them now. I am not a patient person, never have been. I am impulsive, head strong and basically a typical Leo. All of this waiting and wondering is driving me bonkers.
I want to know if this is as bad as it is going to get? Will I wake up one day and it all be gone? I know there are no guarantees in life and I don't expect one but just a nod in the right direction would be very welcomed. I am SURE everyone will tell me to just wait for my test results and then do all this research if they come up with nothing but it isn't in my nature. I don't know how to quiet the control freak within when I feel totally out of control?
I am sure anyone that has been through this process will understand.
So enough about me, how are YOU?

hi karen, its not knowing the future thats the hardest thing,know that,been there,got the t shirt ! i was just the same as you (and probably everyone else !)at the start.the thing about the beast is that each case is differant,and i think thats what makes treatment so dificult .your doing the right thing with all your research, the more you know the less you fear !!!ps.just finised catching up on your blogs (laptop been sulking )sorry the lp went so bad for you youve had a tough time ,hope your feeling better soon.best wishes & lots of wine ,clifford
ReplyDeleteHi Karen! I do the same thing..as my neuro said optic neuritis is a *sign* of ms (but can be caused by other things) then we have the electrical jolts when bending neck (He said also a sign, BUT can be caused by other things) then the MRI..8 to 10 lesions..(can be caused by other things) and the LP from hell..which he said *suggestive* of MS, when compared to other results that were also *suggestive* of MS... SOOOOOOOOOOOO..does that mean I HAVE MS?? The irritating part, is no 100% ANSWER..SO THEN YOU dont KNOW, WHICH MEANS YOU dont KNOW WHICH MEDS TO TAKE (WHICH IS WHY i AM IN LIMBO, ALL THE RESEARCH ON THEM HAVE SO MANY SIDE AFFECTS) He only said results SUGGEST MS. I am on the cofused aggravated limbo boat with you. let me know if you find out anything!! Hugs to you and hope you find answers somehow!!
ReplyDeleteHi Karen. Lupus is a possibility, esp as you also have Raynauds, which would make it secondary rayauds. I have Scleroderma (another autoimmune condition and rheumatalogical also looked after by rheumatologist like Lupus normally is). Blood tests would help with a diagnosis of this. It is quite possible to have MS, Scleroderma, Raynauds, Myocytis overlap, osteoporosis and depression... I should know! My Rheumatologist in london at Royal Free thinks I have an overlap with MS meaning my scleroderma is just doing it's thing and adding in some MS Symptoms to the mix. My neuro in coventry say I have MS. My rehumi in coventry is happy to work with neuro to treat me for both. I hated being in limbo. When I had my mri which showed lesions, I had to wait for 8 weeks as I had hadan infusion of IVIG (intravaenous immunoglobulins) and this affects the LP results. It is awful and you don't know where to turn. I have a brill gp but went through 3 or 4 at the group practice til I found one who was symoathetic to my problems. I feel your frustration....
ReplyDeleteKaren, Why was your diagnosis changed? I REALLY don't understand these docs and DON'T THINK they understand themselves. I think it's all a "guessing" game to them and NOT one they are too anxious to finish....afterall, the more we come back....the more money they make, LOL! Funnies aside...you KNOW I fully understand your disgust and anguish. I've had all the tests too, to no avail and continue on this rollercoaster ride. I had a WONDERFUL FEELING weekend....can't even explain how wonderful I felt yesterday! I told Drew (love of my life) that usually I feel like jumping out of my skin because of the pain...yesterday, I felt like jumping out of my skin because I was just soooo illated....haven't felt THAT GOOD in MONTHS! Well, guess what.....it's back (although not nearly as bad as it has been). I feel extremely tired (probably because I could not get asleep last night, partially because of the "high" I was on from feeling so well), sore, somewhat dizzy and just simply dismayed. Could it be "Mondayitis"? I would think so, but I'm currently on medical leave, so I DON't have to go to work. This whole condition is just simply maddening. It's not only bad to be left in limbo by the doctor's, but the just not knowing what tomorrow brings, drives me CRAZY!!! But, this too shall pass....just gotto struggle through. I will say you are probably much closer than I to a diagnosis simply because you have lesions showing on the brain (I do not) AND you actually have a neuro...I FIRED mine last week, LOL! Gotto find another and maybe someday get some answers, as for right now....I'm just too tired to care. Take care, my friend!
ReplyDeleteSherri
Hi Karen, I totally get your frustration here. I have been having weird symptoms on and off and varying in severity for over 20 years now. All the doctors can do is shrug theirs shoulders and send me off to another one to do exactly the same thing. I am so lost and at a very low point as now I am having simple partial seizures, which of course I didn't have when the eeg was on. Im also writing a blog, but mine is about the medical enigma that is me lol and seeing where that takes me. I really enjoy reading your blog and hope all goes well for you in the future xxx Julie
ReplyDelete