16 out of 50
A 30 years old male patient presents with C/O 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. On examination, BP was 160/140 mm 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?(AIIMS May 08)
|B||Systemic lupus erythematosus|
Ans. A Polyarteritisnodosa
In this patients has hypertension, digital infarct, peripheral neuropathy with hematuria, so the best diagnostic is PAN.