| Provisional Diagnosis | - | Polyarthralgia/recurrent fever/dyspepsia/alopecia since 2005, diagnosed as SLE from MIMS Calicut Oct.2007 on Omnacortil/ HCQS/for second opinion. | |
| Final Diagnosis | - | ? 1) systemic sclerosis MCTD with Sicca syn.
2.Thyroidits Rx.
On tapering steroids/HCQS & LT4 | |
| History and Findings | - | ||
| Investigation | - | MNG, FNAC, Thyroiditis, 2/12/09, ANA +ve, 20.30,ds DNA-ve, ANA profile – anti Scl. 70 +++,RO 52++, SS-A +++, RNP +++, RA & ASO –ve, ESR 40, C3 &C4 N | |
| Treatment | - | ||
| Follow Up | - | ||
Diagnosis diary of special cases by Dr.M.Bhaskaran
Neurasthenia, neuromyasthenia, chronic fatigue syndrome
Thyroid & systemic disease, allergy and rheumatology
Depressive illness, autoimmune & collagen vascular disease
Dr.M.Bhaskaran
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Moothedath house
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