45 Y/O female with rash
A 45-year-old female tailor by occupation came to the hospital on 2/6/22 with C/O fever on and off, associated with generalized body pains, loss of appetite for 3 months C/O facial rash since 4-5 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 years back then she developed joint pains, the fleeting type associated with morning stiffness for 10 min , not associated with swelling for 2 months for which she was treated at a private hospital and found to have?RA factor positive patient was asymptomatic until 8 months back then she developed joint pains? post covid vaccination was treated at a private hospital with medications. 2 months back- c/o dryness and burning sensation of eyes Difficulty in eating solid food, decreased salivation seen 1 month back patient was having an episode of loss of consciousness with cold peripheries with sweating [grbs 7mg/dl] after taking Tab Glimi M2 prescribed by a local practitioner for high sugars?250mg/dl 10 days back patient