A 45-year-old woman with a previously diagnosed pruritic skin condition presents with significant joint deformity that has developed slowly over the past 10 years. She complains of severe pain in her hands, elbows, knees, ankles, and feet. Examination of skin is positive for erythematous silvery plaques on the dorsal hands, wrists, knees, trunk, and dorsal feet. She is otherwise healthy and takes no medication. Do u think this is psoriatic arthritis?

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@Dr. Anusha Verma Ma'am, It is purely a case of Psoriatic Arthritis. As per your case presentation, the skin patches are nothing but Psoriasis and the chronicity of the diseases led to another autoimmune disease - Rheumatoid Arthritis as revealed clearly from her palms ( Swan Neck Deformity ) is there. Regarding management, we have to treat Tridoshahara and Tridosha Shamaka Chikitsha. Choose for Proper Shodhana Karma if in Bahudosha Avastha. (Vaman and Virechan) Followed by Shamana treatment with - 1. Kaishara Guggulu (works on both) 2. Rasnasaptak Kashayam Mahamanjistadi Kashayam 3. Vaishanara Churnam for Amapachan and Virechan 4. Dashamoolarishtam Khadirarishtam 5. Pathya - Apathya As query arose by @Dr. Hemant Adhikari Sir, in this case we have to manage the case by following principles of Amavata and Raktashodaka Chikitsha ( Somehow similar with Jeerna VataRakta Chikitsha), conceptually cleared by dear@Dr. Nisha Parashar Ma'am.

NO DOUBT OF PSORITIC ARTHRITIS. SILVERY OR WAXY SCALY PLAQUES IS THE DIAGNOSTIC OF PSORISIS WITH MULTI JOINTS INVOLVEMENT IS PA.

Thank you doctor
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Aamvat ??? kushtha ??? Need RA test, CBC, ESR,CRP, Rx brihad manjisthadi kasay syrup 20ml bd Khadir powder half teaspoon bd Amyrob tab 2bd SH tab 1bd for 2 to 3 weeks, Sihnad guggul 2bd Ashwgandha tab 2bd Triphala tab 2bd Galo gha tab 1bd SH tab 1bd for 3 months, locally, cutus cream, mahamarichyadi oil and laoevera gel.

Agnitundi vati tab TDS Kaishor guggulu 2 tab TDS Tab psorakot 2 tab TDS Maharasnadi kashaya 15-15 ml Cap Dhanvantram 101- 1 TDS Aamvatari ras-500mg BD Dashmool kashaya 15ml+ 10 ml castor oil at night Pinda swedana with kottaamchukkadi+ sandhava + Balu on affected area

@Dr. Aniruddha Lele @Dr. S.k. Mudgal @Dr. P. G. Shah @Dr. Pratik Patel @Dr. Poonam Rana @Dr. Nisha Parashar please help in this case.... Is it Ama Vata? Vata Rakta?

Psoriatic arthritis
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Need detailed investigation. (Cbc,esr,crp,ra factor, anticcp antibody, ANA, x-ray of both hands to so if there is erosive arthritis or non-erosive,because erosive is specific for RA, while other may be SLE) Is involvement symmetric or assymetric? . DD:RA/Psoriatic Arthritis(see for nail pitting, discolouration, onycholysis)/SLE

छोटी हरड़ को तवे पर देशी घी में भूनकर चबा चबाकर खाएं और फिर ऊपर से ताजा गिलोय का काढ़ा बनाकर पीने को दें। गंण्डोरिकदम् तैल लगाने के लिए। चिकित्सा लम्बी चलेगी। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Closely examine joints for signs of swelling or tenderness Check fingernails for pitting, flaking and other abnormalities This must be a psoriatic arthritis.

First f all Correct Agni... Amvatari rasa, kaishor guggulu, with shunthi churna BD. Avipattikar at night. Pinda tailam local application Rasnadi kashaya BD Tablet psorakot. TDS

It's typical Gout. Go for serum Uric Acid

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