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Exam questionKROK 2Medicine ยท 2024

A 12-year-old girl complains of high body temperature, muscle pain, and difficulty swallowing food. Objectively, the following is observed: periorbital edema with a pink-purple tint, pain and decreased muscle tone on palpation, capillaritis in the area of the finger pads and palms, expanded borders of the heart, muffled heart sounds, hepatosplenomegaly. Laboratory testing revealed increased levels of creatinine in blood and urine. What is the most likely diagnosis in this case?

Answer options

  1. Systemic lupus erythematosus
  2. Dermatomyositis
  3. Periarteritis nodosa
  4. Scleroderma
  5. Juvenile rheumatoid arthritis
Correct answer

Dermatomyositis

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