Known case of RA

Medical Case Details:

A female patient presented with a complaint of whole body swelling and multiple joint pain. She faces difficulty in walking, and weakness for the past one year. She also gives a history of taking Methylprednisolone 4 mg OD and Dytor 10 mg OD. Kindly put in your opinion on her health.

Discussions

Dr. Dorina Sokol Gurabardhi
General Practitioner

Hello doctor,
I think that your case can be related to osteoarthritis or rheumatoid arthritis.
I suggest :
-a physical examination
-a complete blood count
-a rheumatoid factor level in blood
-an xray
-a ct scan if needed
This will help to rule out the diagnosis.
Hope it helps.
Kind regards!

15.Feb, 10:11pm

Dr. Ashish Kumar
Ayurveda Specialist

Thanks sir
RA factor positive
Hb 9 gm/dl
uric acid 11.3
TSH 6.0
rest WNL

15.Feb, 10:18pm

Dr. Dorina Sokol Gurabardhi
General Practitioner

Hello again doctor,
Uric acid is very high. So,it looks like gout arthritis.
I think you should continue the treatment with:
-corticosteroids
-allopurinol
-diet
Also hemoglobin is very low so I suggest a treatment for anemia depending on the cause.
Hope it helps,
kind regards!

16.Feb, 08:52pm

Dr. Ashish Kumar
Ayurveda Specialist

Thanks sir

16.Feb, 09:17pm

Dr. Naval Mendiratta
Rheumatologist

Good evening

Well, female patient doesnt suffer from Uric acid problems( peri menopausal).If there is joint pains, swelling with Rheumatoid factor positive, better to refer her to rheumatologist and get her started on DMARDS..or else we ll be wasting time and watch her joints get crippled...Her anaemia is due to active arthritis.. SO just take care of arthritis and rest will resolve

01.Mar, 06:17pm

Dr. Vineet Maheshwari
Orthopaedician And Traumatologist

The patient shld b started on DMARDS..

23.Mar, 10:02pm

Dr. Abrar A Khan
Family Physician

The weakness and swelling maybe related to chronic steroid use. Also she is hypothyroid and thyroxine replacement is required. Arthritis needs to be evaluated further . May be a case of connective tissue disorder.

27.Mar, 07:17pm

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