A 24 year old woman with photosensitive rash and joint pain presents with edema, hypertension, and cola colored urine. Laboratory studies show positive anti double stranded DNA antibodies and low complement levels. Urinalysis reveals proteinuria and red blood cell casts. Which of the following renal lesions is most likely responsible for her current presentation?
- A)Autosomal dominant polycystic kidney disease
- B)Minimal change disease
- C)Diffuse proliferative glomerulonephritisGABARITO
- D)Analgesic nephropathy
- E)Type 1 renal tubular acidosis
Explicação
Diffuse proliferative glomerulonephritis is correct. Systemic lupus erythematosus commonly causes immune complex deposition in the kidney, and the diffuse proliferative pattern is the most common and most severe nephritic lesion. Low complement, anti double st... Ver explicação completa e trilha adaptativa →