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A 69-year-old man was admitted to a medical ward with the diagnosis of left leg cellulitis on flucloxacillin. On further questioning, he noticed a rash with blisters on his lower legs two weeks prior to the admission. Systemic review was unremarkable. Blood results showed: White cell count 11.15 10*9/L (n 4-11) Serum CRP 74 Renal function tests were normal [rml_read_more] Serum Anti ENA Screen negative Anti Myeloperoxidase Antibodies 0.3 IU/mL (n 0-3.4) Anti Proteinase 3 0.6 IU/mL (n 0 – 1.9) Cyclic citrullinated peptide 3U/mL (n 0-7) Hepatitis Bs antigen not detected Hepatitis C IgG antibody not detected Serum C3
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