11-23-2011, 06:27 PM
A 36-year-old man has fever, anorexia, abdominal pain, weight loss, and arthritis that began several weeks ago. Medical history includes an episode of hepatitis B. Results are negative in tests for antinuclear, anti-double-stranded DNA and anti-phospholipid antibodies. There are some cutaneous ulcerations and a purplish discoloration with some ulceration of the lower extremities. Serum creatinine level is 3.2 mg/dL and blood urea nitrogen level is 29 mg/dL.
Which of the following is another characteristic of this patient’s most likely diagnosis?
A.Association with polymyalgia rheumatica
B.Heart murmur
C.Leukocytosis with predominance of neutrophils
D.Photosensitivity
E.Season variability
Which of the following is another characteristic of this patient’s most likely diagnosis?
A.Association with polymyalgia rheumatica
B.Heart murmur
C.Leukocytosis with predominance of neutrophils
D.Photosensitivity
E.Season variability