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Case report is a cautious, data-driven, and balanced medical narrative that foregrounds evidence (labs, imaging, serology) and acknowledges confounding factors, indicating minimal bias and reliance on diagnostic reasoning.
Case report describes a 62-year-old malnourished woman with a large pericardial effusion whose MCTD features are supported by anti-U1-RNP and serology, with esophageal involvement and Kasukawa criteria, and discusses diagnostic challenges amid nutritional/metabolic confounders.
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