Rheumatology

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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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Numbness and pain in leg veins and Ankle

Hello Doctor, 🙏 I  did an ANA profile test a year ago and I would like your expert opinion. 🧪 ANA Report Summary: – Scl-70: Positive (+) Now, I have intense pain in feet and ankle veins extremes of leg below knee. It is not in bone pain is in veins and skin burning can't touch. I took deflacart 6mg, febuxstat 40 MG other painkillers. It's been a month and it is not working looks like it is a gout. I have uric acid 6.1 What exactly is it gout or scl? Pain is same no change even after taking medicines. I beg for help please.
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Auto immunity disease maybe

Muscle twitch (since 1-2 years) Muscle cramps Joints pain (especially knees) Low grade fever Finger muscle pain Facial bone pain(rarely) Skin rash ( i have anxiety as well)
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Exemptia 40mg in fatty liver and BP

I have been prescribed with Exemptia 40mg biologic injection to treat Seronegative Spondoloarthrtis by a rheumatologist. But I forgot to tell him that I have Grade 2 fatty liver and I also take a prescribed BP medicine named Arbitel Trio 25mg. Is exemptia safe in fatty liver and with High BP medicine.
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Family History of Autoimmune Disorders –

I am a 38-year-old male. My mother (74 years) was diagnosed with myositis dermatitis 3 years ago, and my sister (36 years) was diagnosed with Takayasu arteritis 8 years ago. Given this family history of autoimmune conditions, should I consider undergoing preventive screening for autoimmune diseases? Right now i have no symptoms but L4-L5 herinared disc issue(May be not related to that). Are there specific tests or markers I should check in advance to either detect early signs or reduce the risk/intensity of such conditions in the future? Looking forward to expert advice. Thank you.
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Report information

My uncle having arthritis. Got him tested. Can anybody help with the report. The report is attached herewithin!
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Chronic full Body pain

My wife has chronic muscle pain since so many years now. Even after trying too many medicines, exercises and routine change, the pain doesn't go at all and she is struggling almost daily basis. Can someone please guide me better on this.
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Ana blood test

Hi, I am sharing my ana blood tear here and i took this for pain in hands and legs for few years coming on and off. Can you please check and let me know the issues. Previously 6 months back i took crp, ra factor and those were normal.
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Esr and c reactive protein

Esr comes 15mm/hr C reactive protein 4mg/l Haemoglobin 11g/dl Having shoulder back pain too Any preferable medicine?
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