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 nodules.Cortisol is increased; ESR is slightly elevated.Tests for autoantibodies are positive for cytoplasmic antineutrophil cytoplasmic antibodies.This patient has:

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

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