1. AN INTERESTING CASE OF CONNECTIVE TISSUE DISORDER
Dr Teffy Jose
M4 Unit
Prof. Dr. G Elangovans unit
2. 28 yr old girl Eshwari, from Sowcarpet , who was on
treatment as a case of Rheumatoid arthritis for past 5 yrs
presented with
H/o pain upper abdomen 2 yrs ; - 2 mths
H/o vomiting on and off 6 mths
H/o difficulty in swallowing 6 mths
3. C/o pain upper abdomen on & off for 2 yrs ; 2 mths
burning type, with food intake , relieved by medication
C/o vomiting on & off for past 6 mths , contains ingested food
, sometimes undigested, non bilious; no h/o haematemesis
C/o difficulty in swallowing 6 mths ; solid > liquid
4. H/o odynophagia +
H/o heart burn+
H/o loss of appetite+
H/o loss of weight+
H/o on & off low grade fever+
H/o on & off oral ulcers +
H/o lower back ache and pain upper most part of left thigh+
No h/o haematemesis/malena
No h/s/o jaundice
No h/o altered bowel habits
Urine output normal
No other significant history
5. Past H/o
Pt was treated as a case of rheumatoid arthritis for past 5 yrs
with NSAIDs ,hydroxychloroquine and oral steroids
6. Pt was on treatment with proton pump inhibitors for past 2
yrs for distal esophagitis
