Best of Five3.35

 

   

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BOF: 3.35

A 23-year-old female presents with red, tender lumps over the anterior aspect of her lower legs. She also complains of joint pains. A chest x-ray is performed and this shows bilateral hilar lymphadenopathy but the lung fields are clear.

In this patient which of the following options would be most appropriate?

a)      CT scan of chest and abdomen

b)     Mediastinoscopy with lymph node biopsy

c)      Review in 3 months with repeat chest x-ray

d)      Biopsy of the skin nodules

e)      Serial measurement of serum angiotensin converting enzyme levels

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