MRCP2-4766

MRCP2-4766

A 35-year-old Turkish man with suspected deep vein thrombosis (DVT) is referred to the Emergency Department by his General Practitioner (GP). He recently returned to the United Kingdom after a 1-year break in Turkey. During his stay in Turkey, he was admitted to the hospital with diarrhoea and abdominal pain, accompanied by multiple painful lesions in his mouth. After discharge, he presented again to the Emergency Department with an acute red and painful eye, which was treated as suspected conjunctivitis. A few months later, he developed mouth and scrotal lesions, as well as swollen and painful ankle and wrist joints, which resolved after a few weeks. He has no past medical history. On examination, he is pyrexial with a temperature of 38 °C, and investigations reveal a popliteal deep vein thrombosis (DVT) and abnormal blood results. Given the likely diagnosis, what is the best management option for this patient?