+1 to say this thread is very helpful, and I am really glad it was posted in AIBU and has received traffic.
Since diagnosis, I've frequently looked at the AI boards and wished those boards were more active. I hope we can keep this one going (although I haven't enjoyed reading the "yes I know x person with it and now they're crippled/bed ridden" without telling us anything about meds tried or anything other than doom and gloom, realize the couple of posters like this must think they are adding something/answering the question in the OP by posting like that, but for me, while I like information I just find this sort of thing depressing/scary/insensitive).
I'm relatively newly diagnosed (4 months ago) with Sjogren's Syndrome and RA. I have two different rheumatologists and the SS one doesn't think I have developed RA yet since they have overlapping symptoms (I've got the symptoms of palindromic arthritis and x-rays of hands/feet/knees show little damage, indistinguishable as of now from osteoporosis-arthritis). He thinks my RA symptoms are actually SS symptoms. However, the RA guy is convinced I do have active RA. Not sure how much of this is due to the "have a hammer, see a nail" sort of mindset.
I have a couple of other AI issues and have always been on the very lucky end of them since diagnosis 15 years ago (primary aldosteronism and lichen sclerosis), means I have high BP and occasionally v. itchy nether regions but otherwise ok!
What was distressing for me with the new diagnoses was that my anti-CCP levels and RF levels were sky high (how did I get to my mid-50's without these being tested before with my symptoms???), which from my reading of the research suggests I'm in a poor prognosis group.
As of now, the Sjogren's (chronically dry eyes and mouth) is the worst everyday thing, and I also have numbness, tingling, nerve pain. For RA, I've had random painful joints for ten years or more (not usually bilateral), but they always return to completely normal within just a couple of days.
And, like the rest of PPs, I've had my share of doctors telling me I'm anxious, it's in my head, I've pulled a muscle, I'm overweight, I've got peri-menopause etc. The SS was what was diagnosed (lip biopsy positive and still numb lip nearly 5 months later!!!) Inflammation levels normal on ESR and only mildly elevated on CRP.
Four months of hydroxychloroquine haven't changed my odd pains and apparently there is no disease modifier for sjogrens, only symptom-treatment, so next up for me is to add either Methotrexate or Leflunomide (Arava) according to RA guy. Or consider adding nothing, if I believe the SS doctor who says I haven't developed RA yet.
Has anyone tried Arava vs. methotrexate along with hydroxychloroquine?
Anyone else got Sjogrens too? Sjogrens guy says Arava better than methotrexate on the basis of one (yes just one) very small scale study in the Netherlands which I've read and which has 29 participants (9 of them control group). WTF is up with medical science in this area? Where is Big Data?
My good thoughts to all of you, and to OP, thank you for posing the question and good luck.