ArogyaUDHC Health Issue ID : 934

( Botanical ) Name of the patient:   CAMELLIA462SINENSIS

Solution dated :   Sun, Nov 10, '13

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Health issue inputs URL :   http://www.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=934

Health Issue solution URL :   http://www.udhc.co.in/SOLUTION/viewSolution.jsp?topic_id=934&solution_id=101

PCMS physician's update (fall to early winter 2013):

The patient was diagnosed as rheumatoid arthritis during her first presentation to PCMS (at the time of Final MBBS University exams Spring 2013) and radiology of her hands revealed significant erosions. She was started on DMARDs (Methotrexate and Chloroquin) along with bridge therapy with prednisolone. Although the prednisolone was stopped on her subsequent prescriptions (last she was seen here twice on summer of 2013) and currently it seems she is still on prednisolone and examination reveals acneiform lesions and facial swelling suggestive of iatrogenic Cushing's. This time her steroids were put on a tapering dose again and she was counseled on regular follow up (and this web based record was created to facilitate the same). She was continued on her earlier DMARDs and NSAIDs sos.