Background
Case presentation
Timeline | 2006 | 2008 | 2011 | 2012 | 2014 | 2014 | 2015 | 2016 | 2017 |
---|---|---|---|---|---|---|---|---|---|
Age | 19 years | 21 years | 25 years | 27 years | 27 years | 28 years | 29 years | 30 years | |
Disease | AS (HLA-B27 negative) | MVA | OA | OA grade IV | OA grade IV | ||||
Symptoms | Spinal pain involving shoulders and interscapular region and lower lumbar spine | Severe fracture of right knee | Effusion, reduced range of movement, low grade enthesitis, bilateral grade 2 sacroiliitis, peripheral arthritis | Effusion, reduced range of movement, low grade enthesitis, bilateral grade 2 sacroiliitis, peripheral arthritis | Effusion, reduced range of movement, low grade enthesitis, bilateral grade 2 sacroiliitis, peripheral arthritis, OA of hips and right knee | ||||
Diagnosis | MRI | CT scan and ultrasound scan | X-ray | ||||||
Medication as per medical history | Data not available | Data not available | Allegron (nortriptyline; 25 mg X 2) | Xenacort A (Triamcinolone acetonide)40 | Allegron (nortriptyline; 25 mg X 2) | Allegron (nortriptyline; 25 mg X 1) | Allegron (nortriptyline) | ||
Mirtazon (mirtazapine; 30 mg) | Ketoprofen (200 mg) | Mirtazon (mirtazapine; 30 mg) | Mirtazon (mirtazapine; 30 mg) | Mirtazon (mirtazapine) | |||||
Cymbalta (duloxetine; 60 mg X 5) | Cymbalta (duloxetine; 60 mg X 3) | Cymbalta (duloxetine; 60 mg X 3) | Cymbalta (duloxetine; 60 mg X 3) | Cymbalta (duloxetine) | Valdoxan (agomelatine; 25 mg X 3) | ||||
Endone (oxycodone; 5 mg X 3) | Diazepam (5 mg X 3) | Endone (oxycodone; 5 mg X 3) | Endone (oxycodone; 5 mg X 3) | Endone (oxycodone) | Tramadol (50 mg X 2, 150 mg X 1) | ||||
Lyrica (pregabalin; 150 mg X2) | Endone (oxycodone; 5 mg X 4) | Lyrica (pregabalin; 150 mg X 5) | Lyrica (pregabalin; 150 mg X 3) | Lyrica (pregabalin) | Lyrica (pregabalin; 300 mg X 2) | ||||
Nexium (esomeprazole; 40 mg) | Lyrica (pregabalin; 150 mg X 2) | Nexium (esomeprazole; 40 mg) | Nexium (esomeprazole; 40 mg) | Nexium (esomeprazole) | |||||
Orudis SR (ketoprofen; 200 mg X 3) | Nexium (esomeprazole; 40 mg) | Orudis SR (ketoprofen; 200 mg X 3) | Orudis SR (ketoprofen; 200 mg) | Orudis (ketoprofen) | |||||
Oxycontin (oxycodone; 30 mg) | Oxycontin (oxycodone; 30 mg) | Oxycontin (oxycodone; 30 mg) | Oxycontin (oxycodone) | ||||||
Panadol Osteo (paracetamol; 665 mg PRN) | Remeron (mirtazapine; 30 mg) | Panadol Osteo (paracetamol; 665 mg PRN) | Panadol Osteo (paracetamol; 665 mg PRN) | Panadol Osteo (paracetamol) | Somac (pantoprazole; 20 mg X 1) | ||||
Seroquel (quetiapine; 25 mg X 3) | Panadol Osteo (paracetamol; 665 mg × 3) PRN) | Seroquel (quetiapine; 25 mg X 3) | Seroquel (quetiapine; 25 mg X 3) | Seroquel (quetiapine; 25 mg X 3) | Seroquel (quetiapine; 25 mg X 3) | ||||
Seroquel (quetiapine; 25 mg) | Ostelin (ergocalciferol; 25 mcg) | Ostelin (ergocalciferol; 25 mcg) | Ostelin (ergocalciferol) | Ostelin (ergocalciferol) | |||||
Pantoprazole | Pantoprazole | Pantoprazole | |||||||
Physiotens(moxonidine | Physiotens (moxonidine) | Physiotens (moxonidine | |||||||
Valium (diazepam; 5 mg PRN) | Valium (diazepam; 5 mg PRN) | Valium (diazepam) | |||||||
Methadone (10 mg X 6) | Methadone (10 mg X 6) | Methadone | Methadone (10 mg X 5) | ||||||
Uremide (furosemide) | Uremide (furosemide) | Uremide (furosemide) | |||||||
Tresos B multivitamin | Tresos B multivitamin | Tresos B multivitamin | Tresos B multivitamin | ||||||
BioMagnesium high dose | BioMagnesium high dose | BioMagnesium high dose | BioMagnesium high dose | ||||||
Humira (adalimumab) injection | Humira (adalimumab) injection | Humira (adalimumab) injection | |||||||
Oroxine (levothyroxine) | Oroxine (levothyroxine) | Oroxine (levothyroxine) | |||||||
Walking aid | Wheelchair usage | Wheelchair usage | Wheelchair usage | Stick/Walker | |||||
Intervention | SVF infusion July 2014 --> Oct 2014 --> Aug 2015 --> June 2017 |