I need some help
I suspect that I have PsA.
I’ve been having extreme joint pain for 2.5 years now, I’m 24.
I’ve been going back and forth to doctors , got a reactive arthritis diagnosis for 2 years ( I was getting frequent strep throat and Yersinia entercolotica)
and been chugging nsaids.
Recently found out my aunt has psoriasis, and very very recently went to a doctor to check out a very small red-white patch on my elbow and she said it’s most likely psoriasis and started me on methotrexate.
Then I came back to my home country and got it check again , next doctor said it’s not psoriasis.
Checked my history of my ESR and CRP and my ESR is usually always in the high part of the normal range 25-30 and my Crp fluctuates from 15-18 and goes down to 1-5.
So the newest rheumatologist I went to said oh you dont have psoriatic arthritis , it’s something else.
But my first rheumatologist said I probably have PsA.
I get pain in fingers tips and middle joints, wrists, and shoulders asymmetrically.
I get pain in my knees symmetrically.
Very recently started getting pain in pelvis.
Sometimes my singular finger swells up in the middle joints like dactylitis and it’s very obvious.
Pain is strong in morning and evenings (can’t sleep)
But now since I went to a second rheumatologist to get a second opinion I’m so lost, he said that ESR is not reliable, in his opinion I don’t have PsA.
But I don’t understand what to do, I’m in pain everyday so much.
I’m going to see my first doctor again and see what she thinks. I did a pelvic and sacroiliac MRI and all was normal.
Can someone with experience in PsA at an early age tell me how their disease progressed?
How did bad joint damage get for you from onset of pain, when did you get diagnosis, etc?