She is 35 years old and suffering from UCTD for the last 4 years, when she started having swellings on hand and foot , developed horseness of voice
and used to have pain
and fever.Her ANA test returned with 4+ speck
and ESR of 53.
Over the last 3 years, she has been on drugs like Thyronorm 100 mg(Thyroxine sodium ), OXCQ (Hydroxychloroquine), Tacko M (Omeprazole ), Nilitis (Nabumetone ) etc. During this time she has lost some hair, and skin complexion has become darker.