Question 1

Dear Doctor, A patient aged 70 has been experiencing continuous pain and swelling in the upper right foot and toes for the past month. There is no history of diabetes or high blood pressure. Recent investigations show: Blood report: normal, X-ray: normal, Vitamin D: normal, Uric acid: normal and NCV (both lower limbs): normal. The pain temporarily subsides with painkillers but returns after a few hours. Could you please advise what further tests or evaluations are recommended and how we can diagnose the cause? Thank you.

Question 2

I got a full body checkup and need an opinion on the rheumatoid factor normal range value. My report mentioned: Rheumatoid Factor Quantitative less than 20.0 IU/mL, less than 30 Normal, 30 to 50 Weakly positive, greater than 50 Reactive. Is this normal? Some sites say that up to 14 IU/mL is normal and more than 14 is high. Please advise.

Question 3

Dear Sir, I am having arthritis problems. Someone told me that it may be related to the advancement of HIV. I went for an ICTC test, and I was found negative. Please suggest what I should do. Does rheumatoid arthritis affect the immune system? What can be done.

My RA factor test report is positive. I have been experiencing joint pain in my fingers for the last two days. Six months ago, I visited a specialist at NH Hospital, who said there were no symptoms of rheumatoid arthritis.

RA factor positive with symptoms now suggests early rheumatoid arthritis. Needs antiCCP test to confirm.

More RHEUMATOID FACTOR (RA) - QUANTITATIVE Health Queries

Dear Sir, I am having arthritis problems. Someone told me that it may be related to the advancement of HIV. I went for an ICTC test, and I was found negative. Please suggest what I should do. Does rheumatoid arthritis affect the immune system? What can be done.