A female patient presented, aged 29, with rheumatoid arthritis negative, raised ESR, HLA B27 negative, and normal levels of T3, T4, and TSH. She has been experiencing joint pain, mainly in the pelvic and knee joints, for the past four years. Despite no relief from NSAIDs and physiotherapy, significant improvement has been noted since starting a combination treatment of deflazacort 12mg bd, pregabalin 75 od, and sulfasalazine 500 bd for the past month. Kindly suggest an appropriate long-term treatment 

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Dr. U N Sahoo

Dr. U N Sahoo

General Medicine Specialist

· Bhubaneswar

You may also need to consider other disease-modifying anti-rheumatic drugs (DMARDs) like methotrexate or biologic agents. It is important to continue with physical therapy to prese ...read more

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