Rheumatology

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Nail pitting

Can repeated use of soaps cause nail pitting? I have been using soaps quite frequently for washing my hands since covid. And sometimes, I feel the dryness caused by it might have triggered nail pitting. And whenever I walk 2-3 kilometres, my fingers,palm and feel get slightly swollen which gets normal in 1 hour. HsCRP was below 1 and ear was also 8 in the normal range.
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Regarding ANA positive

I did a complete blood test, which included ANA. It shows ANA ( Elisa) positive, value 89.93!! My orthopaedic said it's too high just for my mind, i repeated the test from a different diagnostic centre and here it different format. Can someone guide me if both the reports have same value or if there is a vast difference
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Swelling in limbs, red bumps, increase p

Increasing platelet im 15 days from 401 to 490,and symptoms from last 5 months with pinkish big/small bumps on arms and body,sometimes swelling in hand
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Muscle stiffness joint stiffness lethrgy

ANA positive  and  Creatine kinase 240 CRP, thyroid profile, Lft , hba1c, esr, hscrp ,RA Factor normal , anti CCP anti bodies normal Muscles weakness stiffness joint sounds stiffness and tenderness sometimes after noon time low grade fever with dizziness aches , insomnia , confusion, low concentration Muscles strucking and weakness and weak muscle mass .
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Neck and back pain

Hi Doctor, My brother-in-law has been experiencing severe neck and back pain for the past 15 days. He recently tested HLA-B27 positive and is now unable to lift his hand also due to the pain. Could this be related to the HLA-B27 result? What should be the next steps for diagnosis and treatment?
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Ayurveda for Rheumatoid arthritis

I'm suffering from Rheumatoid arthritis. My feet is paining and my hands joints are paining badly from a month Do you have sure cure for this? Are there any side effects? Which is best allopathic or ayurveda for this treatment ? I'm not on any medication now.. I beg for help please!
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Numbness and pain

Attached my ANA Report taken a year ago.. One day my right upper feet went numbness ,little swelling and lot of pain.. both my ankles were little swollen it's same from a month I'm thinking it is gout as my uric acid is 6.1 Now, my left leg is also giving me flares and both hands thumbs joint are paining.. But even head back is also paining like he'll feels pining since last week. I'm on medication but no difference.. what to do? Legs hands and left side head numbness and pain.. Frankly speaking tired of seeing lots of doctors now no budget for more doctors Guide me please.
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Allergic to Sulfasalazine

Recently I have been diagnosed with the impression of sacroilitis in my mri report . My rheumatologist prescribed me saaz 500 thrice a day with etoshine 60 once a day( for two) weeks however after taking medicine I got allergic reactions with sulfasalazine despite the fact my stiffness and pain was better when I was on saaz. Now what medications should I switch to my rheumatologist have said now we can only rely on NSAIDs and if possible on biologics. But I don't want to switch to biologics so early.
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Elevated uric acid, treatment required?

Uric acid of 8.86.  Knee pain but has arthritis. No swelling. Does this need treatment? If yes for what duration. Also has prostate 33 cc for which started tamsulosin 0.4. Creatinine 1.49.
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ANA+, autoimmune? cirrhosis

70 yrs, early cirrhosis, cause unknown. USG n fibroscan, liver abnormal.  Elevated liver function. Prediabetes. Hypertension. Arthritis. TSH 10. On diabetes med, thyronorm, & bp betablocker.  *Asymptomatic but has muscle pain.  *Uric acid 6.9. Low hb, mcv, mch. Normal ferritin. *ANA 3+ positive. *IgG 24.5 *AMA,LKM1, ASMA negative. 1) Does positive ANA mean underlying autoimmune condition? 2) Can this be any autoimmune condition OTHER THAN autoimmune hepatitis? 3)Which other autoimmune test or screening is suggested?
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