face swell and joint pain with swell for weekly twice

Age 26 years male has been suffering with face swelling and Joints pain with swell along with fever weekly once or twice. Widal negative RA negative Hbsag negative CBP shows normal ESR 26 mm/hr Thyroid profile Normal LFT & RFT Normal No DTM, no BP. Kindly do suggest further evaluation and Treatment.

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Adv Vit D level

Start SIMHANADA GUGGULU 2-0-2 YOGRAJ GUGGULU 1-1-1 AJMODADI CHURNA 2GM BD WITH WARM WATER RASNASAPTAK KWATH 20ML BD EMPTY STOMACH.

Fever since how long?Might be post viral joint pain.Rheumatic fever also has to be ruled out.Look for any autoimmune process

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Keep temperature charting to see pattern of fever. Smear for malarial parasite. Blood urea, serum creatinine. Platelet count. Ig M dengue, WIDAAL.

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