Lab values A 32-year-old female presents with fatigue, sleep disturbance, headaches, blurred vision,

Lab values A 32-year-old female presents with fatigue, sleep disturbance, headaches, blurred vision, and depressed mood for the past two months. Her history is notable for anemia, requiring multiple blood transfusions to control. A physical exam is positive for a butterfly-shaped rash around the eyes and on the cheeks. The patient also complains of intermittently aching joints and diarrhea. Which statement about this disease is true? A. This disease usually affects people ages 40-60 years. B. Steroids improve psychiatric symptoms. C. About 20% of patients initially present with depression. D. Disease symptoms can be mistaken for somatization.

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