A 38 year old woman presents with fever and oral ulcers. She is noted to have a prominent malar rash.

Question Number 0020
Question:MRCP Part 1 MCQ, USMLE step 1
A 38 year old woman presents with fever and oral ulcers. She is noted to have a prominent malar rash. On questioning she admits to muscle tenderness, oral ulcers and eye pain. Urinalysis reveals gross proteinuria. The physician suspects systemic lupus. Which of the following serological findings would be most helpful in confirming the diagnosis.
a) neutropenia
b) Burr cells
c) squamous epithelial cells
d) anti-nuclear antibodies
e) clumps of neutrophils

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