High white blood cell count is a given. I believe that's what you really have to focus on. This type of RA lowers immune system and attacks healthy cells. Getting a medication that works will help with this. Sometimes it takes months, years, to find the right combo. Took me 10 years. If your on meds now give them some time to work, your new to this it sounds like. Drink water. Alot! Stay away from white sugar, alcohol, eat more veggies. Sounds silly but it REALLY makes a huge difference. Fake sugar is fine in my personal experience. Like splenda and xylitol, fruit and veggies. I know it sounds too simple, to just eat better, (which is HARD) but it helps on a cellular level, which helps your white and red cells! Antioxidants are great too. Try an RA cookbook or anti inflammatory cookbook! Good luck!

Elevated CCP and normal RF is indicative of early stages of RA
It could also be lupus
Have you had any imaging that shows erosion or deformity
What are your other symptoms
Early morning stiffness
Joint swelling, difficult range of motion, painful red joints,nodule formation fatigue, depression, eye or mouth dryness, unusual rashes, feeling of general malaise, temperature
All this information and blood work will give you the diagnosis
Are you on any meds
It's best to start early aggressive treatment for better outcome of controlling the disease
Good luck

I have dry mouth and eyes and see that could be because or my RA or Sjogrens. I have not been diagnosed with Sjogrens but curious what the blood work name would be. I have an appointment in February and wonder if my doctor put in for this.

My CCP was high 250 but RA was normal and I was told this is the worse aggressive RA.

Were you dehydrated or have a underlying infection or flu at the time of your blood work?