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What is the recommended clinical management and treatment strategy for a patient with a 15-year history of rheumatoid arthritis who, after transitioning from long-term conventional immunosuppressive therapy to alternative Ayurvedic treatments, presents with joint deformities, a severe acute disease flare-up (CRP 121.6 mg/L, RA Factor 128.7 IU/ml), anemia (Hb 8.3 g/dL), and sudden, severe mobility impairment?
What is the recommended clinical management and treatment strategy for a patient with a 15-year history of rheumatoid arthritis who, after transitioning from long-term conventional immunosuppressive therapy to alternative Ayurvedic treatments, presents with joint deformities, a severe acute disease flare-up (CRP 121.6 mg/L, RA Factor 128.7 IU/ml), anemia (Hb 8.3 g/dL), and sudden, severe mobility impairment?
Answered 12 days ago