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Exam questionKROK 2Medicine · 2024

An 11-year-old girl complains of pain in the joints, a fever of 38°C, and weakness. She fell ill 5 days ago. Objectively, she has a maculopapular rash on the bridge of her nose and on her face, the joints are not changed, the heart sounds are weakened. Blood pressure 100/80 mm Hg. Complete blood count: erythrocytes 26 1012/L, leukocytes - 3.7-109/L, platelets-12-109/L, ESR - 45 mm/hour, CRP (+++). General urinalysis: protein - 0.063 g/L, erythrocytes -15-20 in sight, leukocytes 10-14 in sight. What is the most likely diagnosis in this case?

Answer options

  1. Systemic lupus erythematosus
  2. Dermatomyositis
  3. Hemorrhagic vasculitis
  4. Polyarteritis nodosa
  5. Acute rheumatic fever
Correct answer

Systemic lupus erythematosus

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