A patient has complained of great weakness for 6 years. He fell seriously ill, the illness is accompanied by body temperature rise, indisposition, pain in joints and along the legs muscles. Objectively: violet-bluish erythema around eyes and over knee joints. HR- 120/min, heart sounds are weak. Blood count: leukocytes - 12 × 109/l, ESR - 40 mm/h. What is the most probable diagnosis?

Answer options

1. Rheumathoid arthritis
2. Reactive polyarthritis
3. Systemic lupus erythematosus
4. Atopic dermatitis
5. Dermatomyositis

Explanation

A patient has complained of great weakness for 6 years. He fell seriously ill, the illness is accompanied by body temperature rise, indisposition, pain in joints and along the legs muscles. Objectively: violet-bluish erythema around eyes and over knee joints. HR- 120/min, heart sounds are weak. Blood count: leukocytes- 12 ∗ 109/L, ESR- 40 mm/h. What is the most probable diagnosis?