A 28-year-old man presents with recurrent infections of the lungs, liver, and bones, along with excessive inflammation manifesting as granulomas, gingivitis, aphthous ulcers, and seborrheic dermatitis. Vital signs show BP 118/76, HR 94, RR 18, temp 37.2°C, SpO2 98%. Laboratory studies reveal elevated inflammatory markers (ESR 42 mm/hr) and normal immunoglobulin levels. Chest X-ray shows granulomatous infiltrates. He denies recent antibiotic use. This patient most likely has a deficiency of an enzyme involved in which of the following processes?
- A)Peroxisomal fatty acid oxidation
- B)Nucleotide salvage
- C)Erythrocyte oxidative protection
- D)Enterocyte copper transport
- E)Neutrophil oxidative burstGABARITO
Explicação
The correct answer is C. Source: Kaplan USMLE Step 1 QBank — Biochemistry Test 2. Ver explicação completa e trilha adaptativa →