LONG CASE A 40/F Came with complaints of 1)Facial puffiness since 1 year 2)Itching all over the body since 1 year and developed multiple plaques on abdomen and Lower limbs. 3)abdominal distention since 1 month. 4)Sob since 1 month. 5)pedal edema since 1month . H/O PRESENT ILLNESS Patient was apparently asymptomatic 3year back then she developed bilateral knee pains gradual in onset, progressive aggrevating on sitting & squatting,r elieved on rest ,for which she visited near by RMP doctor and on medication (steriods) since then. 1yr back she developed facial puffiness ,itching and rashes all over the body and abdominal distension . since 1month she is having pedal ...
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