26th July 2024

A 50-year-old gentleman presents to A&E in December with a history of arthralgia

A 50-year-old gentleman presents to A&E in December with a history of arthralgia. He has no fixed abode. On further history he reports generalised weakness and on examination you identify needle marks on his arms and palpable purpura on his skin. Urinalysis shows microscopic haematuria. Given the likely diagnosis, what would be most important to screen for in this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.