Rheumatoid Arthritis

Rheumatoid arthritis Chief Complaints A 59 yr old male has come with pain and swelling in multiple joints of foot, knee jt, small joints of hand, wrist, shoulder and sterno clavicular joint for past 2 yrs. Pt stated that he is a known diabetic and taking Ayurvedic and homeopathic treatment. Also pt had associated alopecia, facial puffiness, vasculitic lesion of skin(suspected). No H/O HTN, thyroid disorder, substance abuse, fever, chest pain, cough, kidney disorder etc. We suspected it as connective tissue disorder and did RA factor, ESR, CRP and CBC, which came to be positive today. Xray of this pt showing juxta articular osteopenia and Erosions classical of RA. In ACR EULAR criteria pt fulfills the criteria with 9 points. Anti ccp is raised. Today admitted the pt and started RA specific treatment. Pt is doing well on medication and is on regular follow up.

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