Young male, acute optic neuritis, asymmetric arthritis(large joints), non itchy weal extensive (treated as Tenia). RF high titre, ANA,HLA negative, anti NMO neg. Treated with AZA +Pred(responded), stopped Rx. Now anemia, deranged liver enzymes, hyperuricemia, arthralgia.

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Diagnosis? Perspective? Latika Robo robo Omer debaditya_roy Kriti Kishor MD,DM Aditya Burje Prashant chotalia Asif Hasan Khan

Asif Hasan Khan Latika Robo robo Omer debaditya_roy Kriti Kishor MD,DM Aditya Burje Prashant chotalia Off treatment since 2 years