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Geetha Rani,39,Female,Date - 31/03/2009

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Provisional Diagnosis - ? SLE – Past h/o. Genital ulcers. On Omnacortil 20 mg. od wef 26/1/09. VDRL/TPHA –ve, RA –ve, ANA +ve, ds DNA-ve, C3 & C4 N., ANA Profile- Anticentromere ab. +ve , HSV IgM & IgG +ve, Biopsy Oral ulcers-neutrophilic microabscesses.
Final Diagnosis - 1.CREST Syn.
2.HSV Oro-labialis
3.FNA thyroid? Folicular Neoplasam
Pt. improved on Famciclor (valaciclor), Ref.HNS? Lt. hemi-thyroidectomy 5/10/09 HPR no e/o malignancy on Rx.for CREST.
History and Findings - Ref. from HNS-recurrent oral ulcers & vesicles, polyarthritis, Raynauds +ve, esophageal dysmotility. Outside diagnosis- collagen disease
Investigation -
Treatment -
Follow Up -
Last modified on Monday, 02 January 2012 10:46
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