Dr. Ghiyas Uddin (Internal Medicine) needs a second opinion on this medical case.
45/F came with History of fever since 1.5 months for which she consulted a chest physician, She was started on ATT on the basis of having "Tuberculous pleural effusion" (No sputum or P fluid examination was done as per history).
Fever decreased during ATT, but some other doctor stopped ATT.
Now she has joint pains (small joints of hand) . And blackish discoloration of both legs, with few punched out ulcers.
General appearance is undernourished debilitated. Please Give your valuable opinions.
Hb 6.6 Esr 95