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Январь
2019

Malar Rash and Polyarthritis

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A 58-year-old woman had a 2-week history of right knee, right ankle, and bilateral finger joint pain with a facial rash after a febrile illness in her daughter and preschool grandchildren, and an ANA level elevated to 1:160 (homogeneous pattern; negative <1:80 serum dilution. What would you do next?



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