I was to get a Xiaflex shot last week. However, when my doctor looked at my hand (which he has not see for 12 weeks) and noted abit of swelling he said he could not give me the shot because he suspects the swelling suggests that in addition to Dupytrens, I may have something else. Evidently this "something else" could get worse with the Xiaflex unless treated before the shot.

He mentioned Rheumatoid Artheritis, Reflexive Symphathetic Dystrophy and Gout. He is giving me a blood test, bone scan and Xrays to come up with a diagnosis.

Do any of you have any of these conditions or other conditions in addition to Dupytrens. Thanks and good luck to all

Thanks very much for the reply

I do not have constant pain, so I suppose Gout is out.

My pain occurs I try to open or close my hand. Pain when trying to open the hand makes sense because that is Dupytrens. The fingers are being bent towards the palm by the cords and so the hand can not straighten.

The doctors says pain when closing the hand the pain does not make sense because Dupy's should not interfere with closing the hand. Therefore he is suggesting these other possibilities, e.g. RA or RSD.

Thanks for you reply.

I have seen hand surgeons for a few years, I now have a new one. He suggested I see a rheumatologist. In 7 years of this no other doctor has told me this but maybe its a good idea for some of us, there seem to be many related issues which a Dupy sufferer may or may not have.