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57190 Medicine

A 30 years old male patient presents with complaints of weakness in right upper and both lower limbs of last 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5th finger on left side. ern examination, P was 160/140 min Hg, all peripheral pulses were palpable and there was asymmetrical neuropathy. Investigations showed a Hb 12 gm, TLC – 12000 Cu mm, Platelets 4,30,000, ESR – 49 mm. Urine examination showed proteinuria and RBC -10 -15/ hpf with no casts. Which of the following is the most likely diagnosis ?

APolyarteritis nodosa
BSystemic lupus erythematosus
CWegener's granulomatosis
DMixed cryoglobulemia
Medicine
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