1, X-ray film shows that the subcapsular cyst of the second metacarpal joint of the left hand changes and the condition is serious. There is no doubt that the diagnosis of "wind-like customs" is combined with medical history. Besides, at your age and the severity of the disease, your treatment must be positive. If we continue to make progress, joint deformities may occur. Therefore, if there are no other contraindications, it is suggested to add an immunosuppressant, such as leflunomide or hydroxychloroquine.

2. Decreased bone density is related to primary rheumatism, including pain in your left arm, which may be related to this disease.

3. The dose of 3.MTX for rheumatic fever has no effect on reproductive system. Don't worry about affecting amenorrhea. Including carcinogenicity, don't worry. As long as you follow the doctor's advice, use it, and then check your blood routine and liver and kidney function for two weeks, this drug is very safe and is the first choice for treating this disease.

4, including beef, mutton, Toona sinensis, duck and other so-called "hairy" food to eat as little as possible.

(Dr. Su Li solemnly reminds me that because I can't see the patient face to face, I can't fully understand the condition. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor! )

Su Li Shanghai Longhua Hospital/