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Old 10-25-2012, 01:58 PM   #1
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Unhappy Discouraged with my orbital pseudotumor/ocular myositis

I was diagnosed back in May with an orbital pseudotumor. My doctor started me out on 120mg a day of prednisone and i have been gradually trying to reduced the dosage. I am now on 40mg of prednisone and have had (5) steroid infusions of 1G each back in june bringing my total dosage of the pred so far to 14700mg. I am also taking 15mg of methotrexate once a week, but nothing seems to be helping. I recently went to a rheumatologist who did a bunch of blood work looking for the cause of this and got no answers, other than my liver levels aren't good and i have a positive rheumatoid factor of 33....The doctors now want to take me off of the methotrexate and replace that with cellcept. My neurologist is also suggesting IVIG infusions, but my insurance company is denying them saying there isn't any information supporting that it will help my condition. I am just getting frustrated because I want to be off of the steroids, I have had every side effect from them (moon face, stretch marks, weight gain, rash, etc...) but every time i drop my dosage down my eye tends to revert back. I am now dealing with the constant every day pain and the white of my eye is now starting to get large again. I guess i'm just wondering if anyone has had any luck with IVIG infusions and/or cellcept when dealing with this condition. Any advice/words of encouragement would be appreciated.

 
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Old 10-26-2012, 10:59 AM   #2
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Re: Discouraged with my orbital pseudotumor/ocular myositis

I don't know if i have encouraging words but I know exactly what you are going though. I was diagnosed with an orbital pseudo tumor since the beginning of Jan and I am still undergoing treatment. I have been on prednisone since Feb, after my surgery at the end of Jan (a biopsy and a debulking to remove some of the mass). I started at 100mg of prednisone and have attempted to wean off of it but have not been able to get lower than 10mg. The side effects from the steroids are horrible… I think I have all the rare side effects that I have been reading about, to add to the moon face I’ve gained 60lbs, my skin has gotten lighter and is super sensitive I bruise very easily, stretch marks, about half of my hair has fallen out, and I’m retaining water like crazy so my legs and feet are swollen. I had to get prescribed water pills to keep the swelling down. My rheumatologist even tried to substitute the prednisone for methotrexate but it was not effective. Since several attempts to get off the steroids failed, my ophthalmologist referred me to a radiation oncologist. I recently underwent 10 sessions of radiation therapy; my last session ended about 3 weeks ago. Before the radiation, I was on 20mg of prednisone. The oncologist said that my symptoms might get worst before it gets better. So far I have noticed the swelling on my eyelids have gone down and it feels like the mass is shrinking a little. However, I am still on 15mg of prednisone, I tried to wean it down to 10mg but I had a to increase it back up to 15mg when I started to have pain and headaches. The goal of the radiation is to finally get off these meds, I’m hoping and praying that I can because this disease is not fun. I hope I didn’t scare you, just thought I would share my story. Now I am patiently watching my eye hoping for some relief!

 
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Old 10-26-2012, 12:59 PM   #3
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Re: Discouraged with my orbital pseudotumor/ocular myositis

Scare me? No...but your post does make me wonder what exactly my doctors are doing.....i havent had a biopsy or any type of surgery presented to me. At this point ive only gained 10lbs but ive had the rare side effects for awhile...the easy bruising, losing of the hair, ive lost most of my musclw mass and my whole body hurts to the touch...its just wonderful....my doctors did try to swap the pred. For the methotrexate but that didnt work we r now onto another immunosuppressive called cellcept. I wish i could get down to a even a lower dose of the steroids but per my doctors today looks like im stuck at 40mg for atleast 2more months .....wondering if/when radiation therapy will ever be suggested to me...did the radiaton help at all?

 
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