A 34-Year-Old Man Comes to the Physician Reporting One Week

question 239

Multiple Choice

A 34-year-old man comes to the physician reporting one week of inability to extend his right wrist and several of his fingers on the same hand.  He first began having difficulty while trying to type his thesis for graduate school on his computer.  He is right-handed and does not recall any trauma.  He has a history of asthma that was diagnosed while he was in college.  Physical examination demonstrates impaired dorsiflexion of the right wrist with normal strength of the left wrist.  Laboratory studies show: Serum antibodies against neutrophil myeloperoxidase are positive.  This patient most likely has which of the following conditions?

• A)Allergic bronchopulmonary aspergillosis
• B)Anti-glomerular basement membrane antibody disease
• C)Carpal tunnel syndrome
• D)Eosinophilic granulomatosis with polyangiitis
• E)Idiopathic pulmonary fibrosis
• F)Systemic sclerosis