A 20 year old female has an erythematous rash over her face on both cheeks and across the bridge of her nose.This rash is made worse by sunlight exposure when she is outdoors. Along with the rash, she has had muscle and joint pain for several month. However, radiographs of the joints does not show any abnormalities, and she has normal joint mobility without deformity. Which of the following laboratory test findings is most characteristic of the disease-
Elevated anti-streptolysin 0 (ASO) titer
HLA-B27 genotype
Markedly decreased serum level ofimmuno-globulin G (IgG)
Antibodies to double-standed DNA