A 25 year old has a recurrent high spiking fever and polyarticular joint pain for several months.


Question Number 0392
Question:
A 25 year old has a recurrent high spiking fever and polyarticular joint pain for several months. He has had a recent transient maculopapular rash and a sore throat. On examination he has lymphadenopathy and hepatosplenomegaly. On investigation the rheumatoid factor and antinuclear antibody tests are negative. A likely diagnosis is
a) temporal arteritis
b) factitious fever
c) tuberculosis
d) polymyalgia rheumatica
e) Still's disease


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