45-year-old female presents with progressive chronic fatigue and polyarticular arthralgias that started a few months ago.
45-year-old female presents with progressive chronic fatigue and polyarticular arthralgias that started a few months ago. Recently she noticed a rash over the nasal bridge and her cheeks, though the nasolabial folds were spared. You perform a thorough head-to-toe skin examination which revealed discrete, erythematous, somewhat indurated plaques covered by a well-formed adherent scale that extends into dilated hair follicles (follicular plugging) most prominent on the face, neck and scalp. Based on this you order the following diagnostic tests to evaluate for which condition? Question 11Select one: a. Suspect SCC. Order CBC, CMP and fine needle aspiration with biopsy. b. Suspect arthropod related illness. Order Lyme serology, parasite smear for babesiosis, ehrlichiosis panel. c. Suspect SLE. Order ANA, DS-DNA, anti-Smith antibodies. d. Suspect RA. Order Rf, ESR, CRP e. Suspect psoriasis. Order CBC, CMP, ESR, CRP.
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