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147274 Medicine

A 30-year-old male represents with numbness of both lower limbs and right upper limbs Examination reveals pulse 88/mm and BP 16/110 mmHg. He also has digital gangrene involving right 2nd and 3rd finger, urine routine examination is unremarkable. Microscopic examination show RBCs, hemogram and serum biochemistru is within normal limits.What is most probable diagnosis?

ASystemic lupus erythematosis
BPolyaeritis nodosa
CMalignant hypeension
DChrug-Strauss syndrome
Medicine
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