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| SPECIALIST ANSWERS
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Question |
10 years girl presented with history of severe muscule pain and fever for 15days , systemic reveiw and examination are NAD. INVESTIGATIONS;ALL ARE NORMAL EXCEPT HIGH ESR
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Answer |
Since there was severe muscle pain rule out myositis. A blood CPK, SGOT and LDH levels would be useful. One must rule out viral infections such as dengue, coxsackie virus and rickettsial fever. If infection has been ruled out, autoimmune disorders should be kept in mind.
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