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Working diagnosis: Lupus

Posted Dec 23 2009 12:00am

A 55 y.o. man presents with the following intermittent symptoms over the past year:

  • fatigue
  • multiple joint aches
  • multiple areas of muscle ache
  • facial rash for several months
  • one episode of bronchitis with thick white mucus production
  • one isolated bout of reddened eyes and some blurred vision

What is your diagnosis?

  • ANA is positive at 1:1280
  • CRP:  normal
  • Sed rate:  normal
  • anti ds DNA antibodies : indeterminate
  • anti smith antibodies: pending

Working diagnosis: systemic lupus erythematosus

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