Paraneoplastic pemphigus

# CCL6 Young female 18yrs. C/O Muscle spasm, Muscle weakness and wasting. Myalgia and arthralgia Aching bone pain at lumbar,pelvis and hips Inv- Bone mineral density 76% Hypocalcaemia.

Astra Zeneca vaccine against Covid-19 has the potential to cause Thrombosis with Thrombocytopenia Syndrome (TTS), a rare side effect associated with blood clotting. TTS causes blood clots & leads to low blood platelet count. Experts say, the adverse effects related to vaccine usually occur within a few weeks (1-6 weeks) after the administration. Hence, people in India who took the vaccine 2 years ago need not worry. What do you think about it?

M.62yrs. Pain & stiffness neck 1 year.

This is a case of my brother - A 47-year-old male complains of pain in his right wrist while lifting anything with hand or twisting the wrist even a little bit. Pain occurs occasionally on rest. He also has pain in his both shoulders. Radiographic images of wrist are attached. Can you diagnose the cause? Let me know if you have any query.

Mch.9yrs. Unable for pronation and supination and rotation of left forearm.