40yr/ F with facial puffiness since 1 year.
A 40/F Came with complaints of 1)Facial puffiness since 1 year 2)Itching all over the body since 1 year and developed multiple plaques on abdomen and Lower limbs. 3)abdominal distention since 1 month. 4)Sob on exertion since 1 month. 5)pedal edema since 5 days pitting type. H/O PRESENT ILLNESS 1)Patient was apparently asymptomatic 1 year back then she developed abdominal distension. 2)facial puffiness,itching all over the body 3)sob on exertion since one month. 4)5 days ago she developed pedal edema (grade3) of both limbs. ...