Psoriatic Arthritis Question

[DMW]

I just came from my doctor who thinks that I can’t have Psoriatic arthritis because my hands are not involved. I just developed a spot of psoriasis on my elblow. I have damage in my shoulders, hips, left elbow, knees, neck, back, and foot. This damage has happened in the last 2.5 years and I have been miserable with many other symptoms…irritated eyes, constipation, chest pressure, insomnia, etc. I have severe herxes with antiboitics, herbals and even some supplements. I know I have some type of bacteria…..Lyme too I think. My joints are also not swollen,so he thinks I just have osteoarthritis. Does everyone with Psoriatic arthritis have hand involvement? I can’t seem to get any help at all.

I have tried for Lyme…minocycline, Cowden protocol, and cannabutter. I’ve had a herx with Folinic acid, magnesium, moducare, xylitol, apple cider vinegar, TADS (adrenal support), activated charcoal, LDN, herbal made by my LLND and a 50 billion probiotic. I have been clinically diagnosed with Bartonella and mycoplasma. My Lyme testing was inconclusive-band 41 was double starred and I had about 4 indefnite…but I was also on cannabutter at the time (a natural antibiotic). I have high reverse T3 and low T

[Maz]

Hi DMW,

We’re just fellow patients here, but from your description of symptoms, I’d fathom a guess to say it sounds more like Reiter’s reactive arthritis, which can also present with psoriaform lesions and affects larger joints.

https://en.wikipedia.org/wiki/Reactive_arthritis

Reactive arthritis (ReA) is the classic form of an arthritis that is a reaction to an infection. Infections that are classically attributed to ReA are the nasty STD’s, like chlamydia trachomatis, or gonnorhea, but other infections can cause it, too, like gut infections (klebsiella pneumoniae), e-coli, salmonella, shigella, campylobacter, UTIs, like proteus mirabilis, and other types of infections, like strep or Lyme. As per the following study, there are broad spectrum antibiotic protocols that have been studied by a rheumatologist in Florida (J D Carter) for ReA, using different types of antibiotics at once:

http://www.ncbi.nlm.nih.gov/pubmed/20155838

Combination antibiotics as a treatment for chronic Chlamydia-induced reactive arthritis: a double-blind, placebo-controlled, prospective trial.

1) doxycycline and rifampin plus placebo instead of azithromycin;
2) azithromycin and rifampin plus placebo instead of doxycycline; or
3) placebos instead of azithromycin, doxycycline, and rifampin.

Protocols similar to the above study and that have a focus on the chlamydia infections are found at http://www.cpnhelp.org:

http://cpnhelp.org/treatment_protocols

However, if you suspect Lyme disease, it would be a good idea to get a good work-up with an experienced LLMD to discern if this is what you have going on, because ticks pass multiple infections and have the ability to take out immunity and enable latent infection reactivation. This would require very different protocols, involving specific dosing schedules.

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