THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENTS CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
[27-09-2025 11.58] PPM 1: OPD now
48M with RA for 20 years and sacroileitis with pruritus 5 years and lichenification pattern evaluated by @PPM4 @PPM5 for the PaJR with @CR
[27-09-2025 14.53] PPM 3: Yes sir
[27-09-2025 15.17] PPM 2: Such incredibly destructive RA!! What immunosuppressants is he on?
[27-09-2025 16.58] PPM 1: He was started on methotrexate in Hyderabad after 5 years of his RA by which time the damage had been done.[27-09-2025 17.51] PPM 2: Think he will need triple therapy or more potent immunotherapeutics to be honest.
[27-09-2025 20.55] PPM 1: The disease is currently burnt out
[27-09-2025 21.00] PPM 2: Why did he come in? Those hands do suggest an element of Jaccoud arthropathy too? Any evidence for SLE?
[27-09-2025 21.17] PPM 1: He came for the 25% residual pain which is likely non inflammatory fibrotic.
Yes Jaccoud's if only he didn't have those erosions
[27-09-2025 21.18] PPM 6: Jaccouds - non erosive arthritis sir?
[27-09-2025 21.22] PPM 1: Yes https://en.wikipedia.org/wiki/Jaccoud_arthropathy
[27-09-2025 21.23] PPM 6: Thank u sir 🙏
[27-09-2025 21.24] PPM 2: Yes absolutely. Just making a point that they look Jaccoud-ish
[27-09-2025 21.28] PPM 6: Sir jaccouds vs erosive arthritis other than joint erosion what are differences sir ?
Like if erosive means joint deformity ..
Is it differentiated based on the clinical presentation only?
[27-09-2025 21.30] PPM 1: Joint deformity without erosion is Jaccoud's
Clinical and radiological
In Jaccoud's no radiological signs of erosion inspite of the clinical deformity
[27-09-2025 22.00] PPM 6: Okk sir. Thank u for the explanation
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