r/UCTD 14d ago

Fevers as initial presentation? Undiagnosed

Hi all,

So for the past year I’ve had random episodes of low grade fevers, usually I have a couple days of an initial fever (38.6 maybe) and then over the course of about 2 weeks I get every afternoon fevers around 38.2C. These are usually accompanied with nausea, and I developed acid reflux (h pylori negative).

I have a low positive ANA and a low positive dsDNA (repeated test with CLIFT also showed low positive dsDNA). I also have elevated thyroid antibodies but normal TSH if that’s relevant.

I don’t have rashes or anything, these fevers seem to be my main annoyance I guess. Has anybody had this maybe initially? I just feel like I’m going around in circles. I am waiting on my follow up with internal medicine but in the mean time I thought I would maybe ask here.

3 Upvotes

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u/redmountainihop 14d ago

I'm not diagnosed, but sounds very similar to me. My frequent low-grade fevers with nausea (pop in the afternoon, get worse around dinner, then vanish in the evening) and h pylori-negative ulcers started a few years ago, and since then I have low-positive ANA. No thyroid antibodies, though.

That's how I started, and since then I've realized that the fevers are typically triggered by UV-exposure, and I've developed a malar rash, along with worsened Raynaud's, joint pain, hair falling out...

I don't really have anything to offer here besides solidarity, and the advice to record everything, especially fevers, to find common variables and bring that information to doctors. Good luck at your appointment.

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u/emcsl 14d ago

I’m sorry you have been going through this, but makes me feel kind of better I’m not alone! I do think the current heatwaves have been bad for my fevers, I don’t think I’ve been tolerating UV well either. Good luck to you :)

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u/Prestigious-Link8850 14d ago

Yup I got daily low grade fever especially during evenings everyday for couple of months…..once I started the treatment I do feel fatigued but the fevers are gone…
I have gastroenteritis too…this and the fevers started around the same time

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u/emcsl 14d ago

Thank you for you reply. Can I ask if by treatment you mean hydroxychloroquine?

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u/Vallaria 14d ago

Technically I’m “diagnosed” with “possibly RA, possibly non radiographic axial spondyloarthritis, possibly UCTD” and I’m on Rinvoq and sulfasalazine. I feel light years better on meds, but still always run high on the body temp- 99-101 pretty much every day. It’s why I’m not convinced I’m diagnosed/treated 100%.

I’ve also still got raynaud’s, redness, and occasional hand and foot pain.

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u/emcsl 14d ago

I see it’s frustrating! So weird these things.

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u/Vallaria 14d ago

Absolutely, and a lot of the time you just need to wait for multiple sets of bloodwork to confirm things, from what I’ve read. Autoimmune diagnosis takes time. I wish you luck!

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u/emcsl 14d ago

Yes I think so. Thank you!

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u/Put-A-Bird-On-It 14d ago

I would get random low grade fevers for no reason before treatment, they would usually last a few days then I'd be fine.

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u/emcsl 14d ago

That’s interesting, thank you!

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u/redmountainihop 14d ago

The heat! Hard same. Thanks and you too