destiny
Forum Senior
Topics: 35
Posts: 38
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45 year old woman with night sweats, arthritis.On examination she had splenomegaly.Blood examination revealed hepergamma globulenemia with raised IgG. Most likely diagnosis,
-multiple myeloma
-Waldernstrom's macroglobulenemia
-chronic lymphocytic leukemia
-sarcoidosis
-sle
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| prep4usmle
Administrator
Topics: 289
Posts: 1,196
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I'd go for SLE ... tricky question.
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| usmlebuzz
Forum Elite
Topics: 93
Posts: 263
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multiple myloma
hypergammaglobulinemia is not a feature of SLE
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| Idiopathic
Forum Guru
Topics: 19
Posts: 641
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Yes they do. From emedicine.com
"Quantitative immunoglobulins are useful because patients with lupus often have hypergammaglobulinemia and have a higher incidence of immunodeficiency"
Too young for myeloma, and MM has no arthritis as presenting feature. I dont like the question because you need 4 definitive symptoms to Dx lupus, but t is the most likely.
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| xmihaela
Forum Junior
Topics: 1
Posts: 51
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I think it is SLE
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| dpk
Forum Junior
Topics: 10
Posts: 66
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can anyone clear this one plz..
thanks
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