#RHEUMATOID ARTHRITIS# 70 yr old FEMALE. COMPLAIN :- JOINT PAIN and :- MORNING STIFFNESS. from 12yr A TYPICAL BOUTONNIERE DEFORMITY is seen on investigation:- RA FACTOR : POSITIVE CRP : INCREASED ESR : INCREASED EXTRA ARTICULAR MANIFESTATION:- RESPIRATORY SYSTEM:- Fev1 increased on spirometry sign of restriction disease ORAL :- XEROSTOMIA OCULAR :- KERATOCONJUCTIVITIS SICCA WATER HAMMER PULSE IS SEEN ON EXAMINATIOIN PT HAS H/O HTN AND DM FROM 3 Yr ‎

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NICE ILLUSTRATION OPHTHALMIC MANIFESTATIONS PERIPHERAL CORNEAL THINNING CENTRAL OPACEFECATION SCLEROKERATITIS SCLEROSING KERATITIS SCKEROTENONITIS SCLEROUVEITIS EPISCLERITIS SCLERITIS K C SICCA SCLERIMALACIA PERFORANS

Sjogren syndrome.

Sir it's rheumatoid arthritis
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Swan neck deformity

ROM. Exercise , joint proctation static and dynamic splint and on conservative mangment.

Ok sir..thank u
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Nice case

Thank you
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RA

Yes sir
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Classic findings...nice pic

Thank you sir
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Swan neck deformity nice finding