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AIPGMEE Mcq Of The Day

Question: A 30 years old male patient presents with complaints of weakness in right upper and both lower limbs for last 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5th finger on left side. On examination, BP was 160/140 mm Hg, all peripheral pulses were palpable and there was asymmetrical neuropathy. Investigations showed a Hb-12gm, TLC-12000Cu 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 ?
A) Polyarteritis nodosa
B) Systemic lupus erythematosus
C) Wegener's granulomatosis
D) Mixed cryoglobulinemia

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