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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can I Get Over My Anxiety?

Hi, I have read online about a rare autoimmune disease called relapsing polychondritis and since then i developed high levels of anxity because i believe that i have the disease. My medical history: -During a flare up of sebboroic dermatitis on my scalp (my scalp was very itchy, burning and really sore, like the skin was “opening”) my ears became red and hot. They were like that for about 10 days. -Two incidences of dactylitis in the past two years (one incidence in the first year that lasted 1 month, then, another incidence the next year that again lasted one month). Reumatologist suspected psoriatic arthritis due to the swollen fingers plus the sebboroic dermatitis on my scalp. But he said he doesnt want to diagnose me yet as i only had two short incidences in two years. -ANA test, thyroid, reumatoic factor tests normal. As relapsing polychondritis is an autoimmune disease i’m worried that i might have it because i probably have psoriatic arthritis as well. The incidence with the red burning ears was exactly one year ago, i didn’t have any red ears since then..but i have this horrible worry in my mind all the time:(
Mon, 30 Sep 2019
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Addiction Medicine Specialist 's  Response
Hi,

Okay, without an exam, I can only give general information, and polychondritis is variable in severity. If it is really bad, your nose falls off. Look in the mirror, if there is a nose, you do not have the most serious polychondritis.

However, milder forms make joints hurt. A lot. It is really responsive to plain aspirin like drugs. That isn't your problem of course. On the anxiety, serious autoimmune disease is very frequently fatal but it can no more kill you without lots of signs/symptoms/findings than being shot can kill you without a bullet hole.

If you do not see organ failure on the 10 dollar set of tests, then whatever autoimmune disease there is, isn't much. That being the case, then CBT to work on the anxious thoughts BUT CBT wont' work unless there is absolute proof that there isn't a valid reason for fear for one's life.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman, Addiction Medicine Specialist
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How Can I Get Over My Anxiety?

Hi, Okay, without an exam, I can only give general information, and polychondritis is variable in severity. If it is really bad, your nose falls off. Look in the mirror, if there is a nose, you do not have the most serious polychondritis. However, milder forms make joints hurt. A lot. It is really responsive to plain aspirin like drugs. That isn t your problem of course. On the anxiety, serious autoimmune disease is very frequently fatal but it can no more kill you without lots of signs/symptoms/findings than being shot can kill you without a bullet hole. If you do not see organ failure on the 10 dollar set of tests, then whatever autoimmune disease there is, isn t much. That being the case, then CBT to work on the anxious thoughts BUT CBT wont work unless there is absolute proof that there isn t a valid reason for fear for one s life. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist