A 45-Year-Old Male Presents to His Physician Complaining of Achy

A 45-year-old male presents to his physician complaining of achy joints,chronic runny nose,and coughing up blood.Chest x-ray shows pulmonary infiltrates.Cortisol is increased; erythrocyte sedimentation rate (ESR) is slightly elevated.Tests for autoantibodies are positive for antineutrophil cytoplasmic antibodies.On the basis of these findings,a likely diagnosis for this patient is:

A) systemic lupus erythematosus.
B) rheumatoid arthritis.
C) chronic granulomatous disease.
D) Wegener's granulomatosis.

Correct Answer:

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