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Exam questionKROK 1Medicine · 2021

A 38-year-old woman, who was diagnosed with systemic lupus erythematosus (SLE) 3 years ago, came to her physician with a complaint of facial swelling and decreased urination that she first noticed 2 weeks ago. She currently takes azathio rine and corticosteroid. Her vital signs s ow blood pressure 150/90 mm Hg, pulse — 91/min., temperature — 36.80C and respiratory rate — 15/min. On physical examination, the doctor notices erythematous rash on her face exhibiting a butterfly pattern. The laboratory studies reveal hypercholesterolemia, hypertriglyceridemia, and proteinuria. The most likely mechanism of SLE's complication in this patient is:

Answer options

  1. Increased plasma oncotic pressure
  2. Acute infection of the kidney
  3. Immune complex-mediated glomerular disease
  4. -
  5. Decrease in renal blood flow (ischemic nephropathy)
Correct answer

Immune complex-mediated glomerular disease

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