40 year old school teacher comes for the evaluation of joint pain for the last 10 days,She complains of pain in the meta carpophalyngeal joints,PIP and wrist,knees and ankles.Joint involvement is symmetrical and there is no swelling.She also complains of morning stiffness that lasts for less than 15 minutes.She denies any joint redness,rash,fever chills weight loss,tick bite,or recent travel.She is a non smoker and non alchoholic.She doesnot take any medication.on exam,there is no evidence of sweiing,redness or tenderness of the involved joints.rest of physical is unremarkable.labs show negative ANA and RF.which of the following is the most appropriate next step in the management of this pt?
a.anti-b19 IgG
b.anti -B19 antibody
c.anti DsDNA
D.ESR
E.synovial biopsy
F.antistreptolysin ASO titer
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AAzad Forum Guru
Topics: 55 Posts: 457
12/14/06 - 07:25 AM
#2
Patients with refractory polyarticular JRA have a significantly higher frequency of anti-B19 seropositivity (71.4%, 5/7) than age-matched controls (8.3%, 5/60; P>0.001), while none of the remittent group is positive for the antibody (0/4).
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robin082006 Forum Hero
Topics: 471 Posts: 5,125
12/14/06 - 11:02 AM
#3
WHAT IS YOUR CHOICE? A OR B? ___________________ The Key to Succeed is Patience.
AAAAA Forum Fanatic
Topics: 156 Posts: 1,991
12/14/06 - 06:43 PM
#4
B anto-B19 antibody (IgM) ___________________ seeking study partner in USMLE, Canadian MCC OSCE examination
AAAAA Forum Fanatic
Topics: 156 Posts: 1,991
12/14/06 - 06:44 PM
#5
AAAAA wrote: B
anti-B19 antibody (IgM)
___________________ seeking study partner in USMLE, Canadian MCC OSCE examination
