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Recently I had a patient, 60 yrs old; having severe pain in small and large joints, particularly in MCP and shoulder joints on both sides. He became almost crippled as he could not grip and thing and he could not pick up any thing.
All investigations were negative except ESR being 45 mm, and positive for CRP. He was referred to rheumatologist. He opined that in his opinion he is suffering from Psoriasis but could not be definite. Ultimately he is taking methotrexate along with steroids and NSAIDs.
What percentage of this kind of patients remains unlabelled?