Hello,
I have studied your case with diligence.
When such patients come to our hospital I advise them
blood test like RA factor, ACCP, ESR,
complete blood count, HLA B27, ANA.If required MRI.
Rheumatoid arthritis may involve small joints and early morning
stiffness in joints, does she have such complain?
Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased does she have such stiffness in spine?
Only right side involvement can be due to vascular involvement.
Colour Doppler may help in further diagnosis.
Treatment can be started according to clinical examination and blood reports.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.