Patient is suffering from excessive pains, pains are now in control, R. A factor is also normal, C Reactive protein is also normal,ESRIs not decreased, than what will be the exact diagnosis, plz suggest, L. F. T is also normal

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Though All reports are normal,images and pain history more suggestive of. ▪RHEUMATOID ARTHRITIS ▪ . Plz go through reinvestigations including Xray. . DDX. :- ▪systemic lupus erythematosus, ▪psoriatic arthritis ▪fibromyalgia

Yes though test are normal this is a case of RA only. Poor prognosis. Swan ne k deformity can be easily visualized. Can start with following don't know how much it will help Sinhanad guggulu Yograj guggulu Triphala guggulu Amavatvidhwas ras Maharasnadi guggulu Vishagarbha tail Erand haritaki / Gandharvharitaki Erand sneh paan 2 tsf daily hs Dashamoolarishta

EXTREMELY NEGLECTED CASE WITH POOR PROGNOSIS...IRREVERSIBLE DAMAGE PHASE IS NOTICEABLE,SWAN NECK..etc...RHEUMATISM IS IN THE MIND ABSOLUTELY BLAND VEG DIET...... My Dx is Seronegative RA....I also see ONYCHOMYCOSIS .PUT HER ON A THERAPEUTIC FAST IF POSSIBLE and take detailed history....START with Thuja.Th...@Dr. Aniruddha Lele @Dr. P. G. Shah @Dr. Hemant Adhikari

GOUTY CONCRETIONS AS SEEN IN PICS. PATIENT HAVING HYPERURICEMIC BEFORE . NOW THE AIM IS TO DEAL WITH PAIN IN JOINT THAT IS EXCESSIVE. AS CRP IS NORMAL IN RANGE SO NO INFLAMMATION IS PRESENT . BUT WHERE CONCRETIONS PRESENT A LAYER OF CRUST PRESENT AROUND JOINT OF SMALL AS WELL AS LONG PRESENT . AS THIS LADY SHOWN IN PICS WE ALL KNOW PATIENT HAVING LOW DENSITY LEVEL OF CALCIUM . PROMOTE HER TO EXERCISE WITH PHYSIOTHERAPY BALL AND USE SUN EXPOSURE. NOW COME TO THE MEDICINES WHICH HAVING PAIN REDUCING EFFECTS - COLCHICUM ( SMALL AS WELL AS LONG JOINTS HAVING GOUT LIKE SYMPTOMS) , SYPHILINUM - LONG BONES ,TEARING PAIN (ALSO USED SUCCESSFULLY IN LOW DENSITY PATIENTS. SWARTIA CHAIRATA ( WHEN TEMPERATURE INCREASES ABOVE 99- 101 WITH REACTIVE GOUT AND ARTHRALGIA. LITHIUM CARB - GOUT, GUIACUM - OAC AND GOUT.

It's rhumatoid arthritis with swan neck deformity of fingers .

* Swan Neck Deformity * Rheumatic Nodules Are sufficient to diagnose RA. Increase ESR indicates Inflammatory Activity.

Sir actually ESR is also normal, by mistake it is written as decreased instead of increased during posting a case
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Rheumatic arthritis. Arthritis deformans with gouty trophies. Adv serum uric acid. Lyco or sulph. useful as per constitution. Sul if after climaxis disease originated.

Appears to be rheumatoid arthritis but better to do uric acid level to rule out gout

Rheumatic arthritis

Deformative rheumatic arthritis stelingia q locally and 30 TDS medorrhinum 10m single dose firstly in

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