Inflammatory Arthritis with Hypothyroidism ( on Eltroxin 50mg ) having bilateral polyarticular joint pain , swelling ( over face and in joints ) and low grade fever from 3 yr with intermittent RA +/- 
Treated @ आरोग्यम क्लिनिक as per SBEBA 

After 15 days ESR reduced to normal..And all symptoms subside.