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Laboratory testing demonstrated positive anti-nuclear antibody with a titer of 1:160 and normal complement levels. A glomerular basement membrane test was negative, as were tests for rheumatoid factor (RF) and anti-neutrophil cytoplasmic antibody. The erythrocyte sedimentation rate (ESR) was elevated to 74 mm/hr (reference range [RR]: 0–22 mm/hr for men), and the C-reactive protein was elevated to 40.1 mg/L (RR: <5–10 mg/L).
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