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单选题 患者女性,30岁。在烈日下暴晒后面部出现蝶形红斑,全身多关节肿胀疼痛,伴有头晕、乏力、食欲不振。此患者最可能的诊断是

A、 干燥综合征
B、 类风湿关节炎
C、 坏死性血管炎
D、 反应性关节炎
E、 系统性红斑狼疮

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