A patient, 30/m, was having pain in small joints of hands and knees. Anti-CCP was normal. CRP n ESR normal. ANA and HLAB27-normal, but on USG hand showings synovial hypertrophy.
So he was given HCQS 400 mg monotherapy and a patient responded. But again after 2 years having pain in hands and knees. What should be the management prognosis further and maximum life span?
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