A 35-year-old computer operator with rheumatoid arthritis comes to see you with an upper respiratory tract infection and malaise. He has a purpuric rash all over his body and, on examination, a mass is felt in the left upper quadrant of his abdomen. A full blood count shows: haemoglobin 7.3 g/dl, mean corpuscular volume (MCV) 79 fl, white cell count (WCC) 2.5 × 109/l, platelets 47 × 109/l. What is the most probable diagnosis? Fibrosing alveolitis Rheumatoid pulmonary nodules Caplan syndrome Polyarteritis nodosa Felty syndrome
Posted on: Wed, 06 Aug 2014 23:56:03 +0000