PsA fatigue, flu like symtoms

Hi,

I was diagnosed with PsA three years ago and over the last 3 years have had various joints swell as well as enthesitis in various places and sacroiliac joint inflammation. I also have OA in my spine and my hips and am hoping for a hip replacement later this year. My PsA symptoms can be quite sporadic with some periods when symptoms are minimal.

As well as the joint inflammation I suffer regularly with fatigue, flu like symptoms and headaches. I also feel tender around the glands in my neck. The thing is these episodes, they occur every couple of months and last a couple of weeks, don't necessarily tie in with any joint inflammation. I am just gettng over the latest bout and managed to get a blood test whilst I was unwell. Every other time the symptoms have resolved before I could get a test. Anyway my ESR was raised at 27mm/hr. Not really high but I was starting to feel better so expect it might have been a little higher if I'd had the test when I was feeling at my worst.

I recently saw the GP who picked up on the neck pain and suggested it might be polymyalgia rheumatica. She didn't seem to think the PsA was a cause. I am not sure its polymyalgia. I don't really have those symptoms and the episodes have been coming and going for getting on for 3 years now so similar timescales to PsA.

I jsut wondered if others with PsA have similar episodes and whether they tie in with joint inflammation. I only see the rheumatology every 6 months or so but am going to try and call them to discuss. Am not in medication at the moment but MTX has been suggested. I have been holding off and trying to manage the joint pain with naproxen.

Thanks for any comments or advice?