A 24-year-old male presents to the clinic with a chief complaint of developing large areas of dandruff on his scalp and pitting of his fingernails.  He also started noticing that he is having morning joint pain that is partially relieved after he gets ready for work.  He has used multiple types of dandruff shampoo without relief of symptoms.   He is unable to remember any significant family history concerns.  Labs include a negative rheumatoid factor.  His ESR was mildly elevated.

Develop a 1- to 2-page case study analysis in which you:

· Explain why you think the patient presented the symptoms described.

· Identify the genes that may be associated with the development of the disease.

· Explain the process of immunosuppression and the effect it has on body systems.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

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