Symptoms

• H&N SSx: mucosal oral ulcerations with an erythematous halo, cutaneous lesions (as above), ulcerated nasal septum (nasal perforation), hoarseness from thickened vocal cords and cricoarytenoid joint arthritis, acute enlargement of parotid, cranial neuropathies, SNHL (autoimmune inner ear disease), nonspecific lymphadenopathy

• Other SSx: malar rash, fever, malaise, weight loss, nonerosive polyarthritis, pleurositis, proliferative glomerulonephritis, anemia, Raynaud's phenomenon, diffuse interstitial pulmonary fibrosis, pericarditis, endocarditis

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