doc_clotaire
Forum Guru
Topics: 159
Posts: 1,303
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A 45 yo woman presents to a physician with marked swelling of her hands . Five years previously , she had developped multiple arthralgias and early rheumatoid arthritis was suspected . However , no confirmatory inmunologic studies had been perfored at that time . Since then , she has experienced difficulty swallowing and mild dysnea on exertion . On PE , the hands are strikingly swollen , producing a sausage -like appearance to the fingers . Other findings include erythematosous patches over the knuckles , a mild malar rash and slight violaceous discoloration of the eyelids . No joint deformity is noted , although many joints are tender . A chest X-Ray film demonstrate diffuse intestitial infiltrates . In antibody studies , high titers of antibodies directed against which of the following antigens will most likely be present .
a ) c - ANCA
b ) ds DNA
c ) p- ANCA
d ) SCL-70
e ) Anticentromere
f ) RNP
g ) ANA
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The elevator to succes is broke ,you must take the stairs
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| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
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its looking like a mixed connective tissue disease to me,so i will go with RNP.
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| MDcooper
Forum Guru
Topics: 211
Posts: 470
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i will go with RNP.features of SLE and scleroderma .
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live and let live.
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| robin082006
Forum Hero
Topics: 471
Posts: 5,123
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yes mixed connective tissue disease----->F
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The Key to Succeed is Patience.
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| CocaCola
Forum Guru
Topics: 35
Posts: 907
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F - RNP
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There is one thing we can do, and the happiest people are those who can do it to the limit of their ability. We can be completely present. We can be all here. We can give all our attention to the opportunity before us!!!
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| doc_clotaire
Forum Guru
Topics: 159
Posts: 1,303
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Very good guys , every body got it
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The elevator to succes is broke ,you must take the stairs
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