Case Study: Joint Pain And Fatty Liver
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- Case Study: Joint Pain And Fatty Liver
Hanna is a 28 year old Hungarian lady who came to my clinic seeking help for pain in her wrists, and fatty liver. The wrist pain started three months ago. First it was just in her right wrist, but a month later her left wrist started hurting as well. Hanna initially thought it was due to all the computer work she does, but when both wrists became painful and swollen she decided to see her doctor.
Hanna’s doctor referred her to a rheumatologist who decided to order some tests. An MRI of her wrists showed synovitis. This means inflammation of the synovial membrane, which lines joints. Several different types of arthritis can cause synovitis. Hanna was given a blood test for rheumatoid arthritis, which was negative. This type of joint pain can be present with lupus and her blood test showed a weakly positive result. It was not definitive enough to diagnose lupus though.
Hanna’s rheumatologist recommended she take fish oil and he gave her some information about medication that can be taken for arthritis. The product brochure about methotrexate frightened Hanna because of the numerous potential serious side effects listed. Hanna found our book about autoimmune disease, purchased a copy and read it. That’s what prompted her visit to my clinic. She wanted to do everything possible to eliminate the pain and prevent the progression of the disease.
In my patient questionnaire I ask some detailed questions about bowel and liver health. From that I learned that Hanna had been diagnosed with a fatty liver four years ago. She was very young to have developed a fatty liver; it’s much more common in people 40 years old and above. Fatty liver runs in Hanna’s family; her mother and grandmother both had the condition. In fact Hanna’s grandmother actually developed cirrhosis of the liver. She didn’t drink any alcohol. The fatty liver became so aggressive that it actually ended up causing liver failure.
Hanna is due to return for another appointment in three weeks.
The above statements have not been evaluated by the FDA and are not intended to diagnose, treat or cure any disease.
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