Prabesh Paudelover 5 years ago
A friend of mine complains of pain in the right arm since 6 months which sometimes radiates downwards to reach the forearm.The pain exacerbates on removing sweaters and raising the hand above the head. on consulting a doctor, he diagnosed it as a muskuloskeletal pain and prescribed a NSAID (Aceclofenac). The patient doesnot seem to be relieved from the treatment provided. what might me other differentials and the treatment?
Top rated comment
over 5 years ago
PM and DM is associated to other autoimmune diseases like hypothyroidism. Thus you should check TSH, EMG and anti Jo-1 Ab for R/O these causes.
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over 5 years ago
I think she has proximal weakness. Any history of thyroid disease? Rash on face or neck? FH of rheumatologic disease?
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