Systemic lupus erythematosus Quiz: Ace Your Exams
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A 28-year-old woman presents to the clinic with a three-month history of joint pain, fatigue, and a facial rash that appears to worsen with sun exposure. Over the last two weeks, she developed swelling in her ankles and frothy urine. Her past medical history is unremarkable. Temperature is 37.1°C (98.8°F), heart rate is 78/min, blood pressure is 148/93 mmHg, respiratory rate is 16/min, and oxygen saturation is 99% on room air. Physical examination reveals malar erythema on the cheeks and nose sparing the nasolabial folds, pain and swelling of multiple joints of the hands, and bilateral pitting edema up to the mid-shins. Urinalysis shows 3+ proteinuria and microscopic hematuria. Which of the following tests should be performed to confirm the diagnosis?
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