Contemporary Clinical Immunology and Serology 1st Edition by Kate Rittenhouse Olson,Ernesto DeNardin

Exercise 2

A 40-year-old black female sees her physician with complaints of pains in the joints of both her right and left wrists. She has a rash on both cheeks. On physical examination, edematous swelling of her joints is noticeable. Her rheumatoid factor is positive to a titer of 2. Her lab results show an elevated sedimentation rate and some proteinuria. An ANA is performed, and homogeneous staining of the nuclei is seen with a titer of 640.
A) The patient's symptoms and lab results suggest SLE.
B) The patient's symptoms and lab results suggest Lyme disease.
C) The patient's symptoms and lab results are suggest rheumatoid arthritis.
D) All of the above.