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General Medicine General fcbd0a17

A 26-year-old man has had difficulty breathing through his nose for 3 years, but this problem has become progressively worse over the past 2 months. Physical examination shows glistening, translucent, polypoid masses filling the nasal cavities. Histologic examination of the excised masses shows respiratory mucosa overlying an edematous stroma with scattered plasma cells and eosinophils. Which of the following laboratory findings is most likely to be present in this patient?

A
Elevated serum hemoglobin A1c level
B
Increased serum IgE level
C
Nuclear staining for Epstein-Barr virus antigens
D
Positive ANA test result

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