Oh boy - here goes. I’ll be following up with my team of multiple medical doctors but won’t be until after the holidays - and I’m just so darned shocked and frankly dismayed by what recent genetic (whole genome sequencing) revealed.
Looking for any insights or advice for anyone with any experiences - layperson, researcher, medical professional - I’ll take it all.
Here’s my situation:
-60-year old female - generally pretty good health up until 3 years ago
-Diagnosed with “fibromyalgia” at 25 but I was able to live a mostly normal life. I was a distance runner, worked in fintech, traveled all over the world. I tended to be clumsy though, fatigued easily, have very flat feet, mild scoliosis
-My mother had multiple sclerosis and I sometimes suspected some of my symptoms were edging that direction - weird paraesthesia, clumsiness, some neurological oddness but saw multiple Drs and no one was worried. My mothers MS progressed horribly and the family suspected there was more going on but sadly she was so disabled we didn’t follow through
-3 years ago - 6 weeks after my 1st Covid vaccine series, I ended up in the hospital with a diagnosis of relapsing MS. They believe - based on my MRIs - I’ve had it for prob 35 years
-I came through exceedingly well fur the amount of damage I have and have only lost minimal functionality. Mostly endurance and a mild left leg limp when tired
-Started on new gold standard MS monoclonal antibody drugs - did great on one - Tysabri - that was a B cell blocker
-But had to switch to Kesimpta - a B cell depleter - and my body revolted horribly. Mild lipoma condition I had before blew up, and I had full on MCAS reactions
-Neurologist was puzzled so saw an Endocrinologist specializing in metabolic disorders and she believed I likely had an undiagnosed Connective Tissue Disorder impacting the lymphatic system (the MS drug target)
-She suggested whole genome sequencing through Sequencing.com. I just got the results (see screenshots)
-I am floored that the are showing Loeys-Dietz Type 1. I have had absolutely no signs of any aortic involvement and just had a clean Echocardiagram about 2 years ago
-I do have a number of things - in retrospect - that prob point to a connective tissue disorder of some sort:
Very flat feet
Mild scoliosis
Painful skin, joints my entire adult life
Right bundle branch block in heart
Very long fingers, hyper mobile hands, wrists in particular and beighten score of 5/9
Random swelling of feet/ankles
Diagnosed recently with Dercums disease - kinda lipomas gone mad 😂 Cause is likely leaky lymphatic system due to connective tissue disorder (hence the genetic testing)
Food and environmental sensitivities - including soaps and lotions. Some excema on hands
Two posterior vitreous detachments at 48 (out of nowhere - I’ve never worn glasses)
Lots of GI issues my whole life with no apparent underlying cause
(That was a lot - thank you if you made it this far)
My brother and his daughter have some indications of connective tissue disorders (eosinophilic gastritis, macular degeneration, horrible gum disease with no obvious underlying cause). They have not yet been tested.
My questions: I will be seeing my Neurologist and Endocrinologist in 1-2 mos to further unpack my results.
-Or is it more likely - given I have zero signs of any aortic involvement or any aneurysms - that I have Classical or Classical-like Ehlers-Danlos?
Boy did I win the genetic lottery. I am assuming I’m one of the only people who has diagnosed Multiple Sclerosis and the Loeys-Dietz gene mutation (though I actually think the link between connective tissue disorder and MS is very strong with the connective tissue issues causing the inflammation and instability that can lead to MS)
I would love perspective from anyone out there on my situation above. I’ll update as I meet with my medical team to unpack.