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A young woman presents with a facial rash, arthralgias, and fatigue. The rash on her face is erythematous and raised, her heart and lungs are normal, and wrists are swollen and tender on palpation. She has mild thrombocytopenia (90,000/mL). Which of the following is the most appropriate initial autoantibody test?
anti-double-stranded (ds) deoxyribonucleic acid (DNA)
anti-Sm
anti-Ro or La
ANA
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