Rheumatoid arthritis patient, female, 67 years old. Disease duration of over 20 years, viral infection one week ago

Jan 23, 2025 Source: Cainiu Health
Disease description:

I have had rheumatoid arthritis for over 20 years. Recently, within the past week, I have been feeling unwell and have developed symptoms of a viral infection, including fever, cough, and fatigue. I am very concerned that these symptoms may worsen my rheumatoid condition or that my treatment plan may need adjustment.

Doctor's answer (1)
Dr. Yang Tiesheng

Rheumatoid arthritis is a chronic autoimmune disease that primarily affects the joints, causing pain, swelling, and dysfunction. If the patient experienced a viral infection one week ago, it might trigger or worsen arthritic symptoms such as joint pain, swelling, morning stiffness, and could even affect joint mobility.

In such situations, the patient should seek medical attention promptly for a professional evaluation of the severity of the viral infection and whether modifications to the treatment plan are necessary. The physician might consider temporarily pausing or reducing immunosuppressive medications to lower the risk of infection, while implementing measures to manage the viral infection, such as prescribing antiviral drugs or providing supportive care. Once the condition is stable, patients may try physical therapies such as acupuncture, massage, or heat application to relieve pain and improve joint function. Additionally, patients should keep warm, avoid cold exposure, maintain regular sleep patterns, and engage in moderate exercise to enhance immune function. It is also important to maintain a positive mindset and actively cope with the disease.