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An older adult patient presents with a history of gradual onset of pain in her hands, particularly at the base of her thumbs and her knees, worsening over the past 2 years. She reports that her symptoms are most severe towards the end of the day and after prolonged activity. On examination, there is a bony enlargement of the affected joints and crepitus with the movement of the knees. Which of the following diagnostic findings would be most expected from them?
1 - Rheumatoid factor and anti-cyclic citrullinated peptide antibodies 2 - Elevated erythrocyte sedimentation rate and C-reactive protein 3 - Uric acid crystals and inflammatory cells in joint fluids 4 - Joint space narrowing and osteophyte formation on X-ray
Sagot :
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