Spondyloarthritis

Discussion in 'Medical Topics' started by bolder, Apr 4, 2022.

  1. bolder

    bolder Filing Flight Plan

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    bolder
    Seeking an advice from Dr. Bruce @bbchien or others knowledgeable here:

    I had a finger tendinitis and random pains in random joints for the past two months which were resolved after a systemic steroid shot given my rheumatologist three weeks ago. Blood work for rheumatoid arthritis and other common arthritis causes all came back negative. Subsequent check for HLA B27 came back positive however.

    At a recent follow-up regarding HLA B27 positive case the doc said he's going for undifferentiated spondyloarthritis (USpA). Because there's basically no active symptom right now he started me on the NSAID mobic 7.5mg. He does find everything stable and has no problem me going back to work as a commercial pilot (1C medical).

    Knowing the CACI arthritis worksheet, I asked him if this falls below the traditional ankylosing spondylitis (AS) category and he said yes, but I am wondering if I could continue under CACI or this would require an additional special issuance (I have one active that was approved recently) decision from AMCD. A second autoimmune condition right after the first one ::facepalm::

    I appreciate your input. Thank you again for reading.
     
    Last edited: Apr 4, 2022
  2. MountainDude

    MountainDude Pre-takeoff checklist PoA Supporter

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    MountainDude
    I would like to speak with you about AS (not aviation related). Please message me if you'd like.
     
  3. bbchien

    bbchien Touchdown! Greaser!

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    Bruce C
    If it restricts you it’s an SI
    IF it doesn’t and requires no meds—> CACI.
     
  4. bolder

    bolder Filing Flight Plan

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    Dr Bruce, thank you for your response.

    My rheumatologist has no problem me going back to work and I have no restrictions in movement. However he did prescribe me mobic (nsaid) 7.5 daily for pain management. He initially wanted to start on sulfasalazine or methotrexate but we agreed on watching it for next three months on NSAID only because the case shows mild (for now, knock on wood).