Which of the Following Sets of Signs and Symptoms Is

Multiple Choice

Which of the following sets of signs and symptoms is most likely to indicate that a patient has systemic lupus erythematosus (SLE) ?

A) A butterfly-shaped, red rash on both cheeks joined across the bridge of the nose, fever, fatigue and joint pain
B) Hardening and shrinking of the skin to make it feel leathery, joint swelling and stiffness
C) Itchy, flaky, red patches of skin of various sizes, covered with silvery scales, fatigue, joint stiffness
D) Pale, irregular patches of skin, fever, joint pain
E) Redness of the skin due to enlargement of underlying capillaries showing through the skin, difficulty breathing