Case study of Scleroderma and Rheumatoid arthritis

: Mrs. Zeba Amin., female aged 42 years, .She was diagnosed having Scleroderma for two years and also Rheumatoid Arthritis since about four years.

She did not speak any language other than Arabic. Her case was studied with the help of her relative who spoke English.

He was having many hypo-pigmented (white) patches on skin with occasional itching, more on neck, chest and arms. There was thickening of skin and a sense of tightness experienced by the patients on those affected. Areas On examination, we could feel roughness, dryness, waxy, stiffness and hardness of skin. The skin was painful. Skin on hands, fingers and legs was affected.

She also has difficulty opening the mouth as her mouth was affected. She had difficulty in swallowing and it was painful. This has made her personal life miserable due to painful deglutition.

While examining her skin using the Wood’s lamp, fluorescence was observed.

We did a range of investigations at Life Force, in addition to the blood work she had come with. Her thyroid profile was normal. Her endoscopy was normal. Other reports such as lipid profile, blood sugar, were also normal. Her CRP and ESR were high. She was positive to RA factor.

Her symptoms of Rheumatoid Arthritis were in the form of painfulness of small joints of hands, feet and knees. With swelling. All her movements were painful and restricted. This patient is still under our care. Her scleroderma is under control. She has been taking Methotrexate for her Rheumatoid arthritis. Long follow up with homoeopathy is required to make comments on long-term management.