A 70-Year-Old Woman Presented to the Office Complaining of Exertional

A 70-year-old woman presented to the office complaining of exertional dyspnea of 3 months duration. The patient is complaining of fatigue and generalized edema. She is a known case of systematic lupus erythematosus for 15 years. Temperature is 36.9 C (98.4 F) , blood pressure is 118/77 mm Hg, and pulse is 90/min. On examination, there are no enlarged lymph nodes. Cardiopulmonary examination shows decreased breath sounds over the lung bases. An oral ulcer and facial rash are observed during examination. Both legs have pitting edema up to the knees. Urine analysis shows 4+ protein but is otherwise normal. Which of the following would appear on the histological examination of this patient's kidney?

A) Crescent formation
B) Deposition of amorphous material
C) Diffuse hypercellularity
D) IgA deposition
E) No abnormalities

Correct Answer:

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