When Men Get Rheumatoid Arthritis
For a few years, Andrew Ellis tried to tough out the pain, which started in his thumb. A boxer and football player in college, Ellis, 58, was used to aches and pains. He’d even broken his thumb once, so he told himself the new pain was from the old break. Then his other thumb began to hurt. Soon, he had pain in his toes and the balls of his feet. When his neck began to hurt, he finally admitted to himself that it was time to see a doctor.
“I said to myself, ‘There’s something wrong,” recalls Ellis, who retired after 28 years in the military and now lives in Bel Air, Md.
At 35, Chicago flight attendant Michele Mason says her bones felt like “pins
and needles” were in them, and her hands were so swollen that she found it
difficult to put on her infant son’s socks. Her knees ached, too. “I couldn’t
even get out of the bathtub myself,” she says.
When her doctor suspected rheumatoid arthritis, Mason worried that traditional
medicines might not be good for her breastfeeding
baby. So with her doctor’s blessing, she took a very low-dose steroid and
turned to herbs…
He was right. Ellis learned that he had rheumatoid arthritis.
For a man, that’s a rather uncommon diagnosis. Of the estimated 1.3 million people with the disease in the U.S., women outnumber men by as much as three to one.
It’s not known why the condition is so much more common among women, though there’s evidence to suggest that hormonal differences might explain at least some of the disparity in numbers. In fact, other rheumatic diseases, such as lupus and fibromyalgia, also affect many more women than men.
Good News and Bad News for Men with RA
Rheumatoid arthritis is an autoimmune disease. It causes the body’s immune system to attack the lining of joints. This leads to painful inflammation, swelling, and stiffness. In advanced stages, the damage caused by such inflammation can be quite debilitating.
RA symptoms can last anywhere from a few months to a lifetime. For some people, it flares up on occasion, then temporarily goes into remission; for others, it can be a constant, painful presence.
For men with the disease, there may be some good news. According to rheumatologist Grant Louie, MD, an arthritis specialist at The Johns Hopkins Hospital in Baltimore, men may have a less severe disease course than women. Men may also be more likely to have their disease go into remission, especially if it is caught and treated early.
Developing the disease early is important for other reasons, as well. According to the Arthritis Foundation, the earlier joint damage due to the disease often occurs in the first two years.
Many men, though, are much less likely than women to see a doctor, for arthritis or anything else. Ellis is a perfect example. He put up with his pain for three to four years before consulting with a physician.
“Men are often diagnosed later because they tend to downplay their symptoms,” says Louie, who is treating Ellis’ RA. “They may not recognize that it is something that they need treatment for.”
Louie adds that men also may have fewer functional disabilities than women do. But the reason may be that men are underreporting the extent of the difficulties that the disease is causing. This also comes up when diagnosing RA.