Case_study
A 42-year-old woman presented with a 1-week history of swelling and pain in the fifth finger of her left hand. She reported no related trauma. She had systemic lupus erythematosus, treated with mycophenolate mofetil and prednisone. Physical examination of the affected finger revealed soft-tissue swelling, with erythema and warmth, that was most prominent between the proximal and distal interphalangeal joints, sparing the fingertip. The patient’s husband had recently traveled to China and developed a cough soon after his return home. What is the cause of the patient’s finger swelling? Acute gout Flare of systemic lupus erythematosus Septic arthritis Extrapulmonary manifestation of tuberculosis Osteoarthritis
Is it a flare of systemic lupus erythematosus? I’m just a student right now.
Extra pulmonary manifestation of tb - montoux. / selenite medium( 5 days) It’s isnt mentioned anything about movement of joints involved...
The answer is extrapulmonary manifestation of tuberculosis. Examination of a biopsy specimen of the deep dermis after Fite staining revealed numerous acid-fast bacilli. Culture of a tissue sample grew Mycobacterium tuberculosis. Although infection of the finger is a rare extrapulmonary manifestation of tuberculosis, it is an important consideration in immunosuppressed patients. This patient was treated with a four-drug antituberculosis regimen for a total of 9 months and had complete resolution of her symptoms.
Living with Lupus is often a battle not just against the illness itself, but also against the emotional weight of uncertainty, fatigue, and the toll of long-term medications. For one courageous woman, that battle began in 2013. Diagnosed after Lupus had already affected her joints and internal organs, she was quickly placed on medication that initially helped. But as time went on, her health declined again this time with more frequent flare-ups and increasingly difficult side effects. Like many others with chronic illness, she faced the crushing weight of hopelessness. Each day became harder than the last, and conventional treatments no longer offered the comfort they once did. But in March 2020, at her lowest point, she made a decision that changed everything.Out of desperation and with a healthy dose of skepticism she turned to NaturePath Herbal Clinic, hoping their natural Lupus treatment might offer at least some relief. What happened next went far beyond her expectations.After completing a six-month herbal program, her flare-ups stopped entirely. Her energy returned. The chronic pain that had defined her daily life began to fade. For the first time in years, she felt like herself again. Not just alive but truly living.Her story is not just one of healing; it’s one of resilience, open-mindedness, and the courage to try something new when all else fails. By sharing her journey, she hopes to offer something priceless to others living with Lupus: hope.This treatment has been a true breakthrough for her. If you’re searching for a safe, natural, and effective alternative, I genuinely recommend giving this a chance.”www.naturepathherbalclinic.com or email them at info@naturepathherbalclinic.com
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