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Can the symptoms of RA start late in a 45-year-old man?

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Patient's Query

Hello doctor,

Is fever a symptom of RA only in children, or can adults experience it too? I have had a low-grade fever for the past nine days—just enough to make me feel awful. My rheumatologist told me that only children with RA get fevers, which confused me.

I am 45 years old and was diagnosed with RA several years ago, though my symptoms only began a little over a year ago. I am currently taking Cimzia and Hydroxychloroquine. My doctor advised me not to take my injections until I have been fever-free for at least three days. Please help.

Thank you.

Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

In rheumatoid arthritis (RA), inflammation is a key feature, and a mild fever can sometimes occur. However, in adults, fever is usually not as high as it is commonly seen in children with RA.

You're currently taking disease-modifying and biologic medications, which should be continued as directed by your doctor. If your symptoms are not improving, your doctor might consider switching Hydroxychloroquine to another DMARD, such as Methotrexate.

For managing pain and inflammation, a non-steroidal anti-inflammatory drug (NSAID) can be prescribed. Steroids are generally reserved for more severe inflammation or flare-ups.

Please consult your rheumatologist for a physical evaluation and to adjust your treatment plan if needed.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At May 7, 2018
Reviewed At June 24, 2025

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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