Питання 48 з 90

A 38-year-old woman, who was diagnosed with systemic lupus erythematosus (SLE) 3 years ago, comes to her physician with a complaint of facial swelling and decreased urination that she first noticed 2 weeks ago. She currently takes azathioprine and corticosteroid. Her vital signs show blood pressure 150/90 mm Hg, pulse - 91/min., temperature - 36.8°C 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. Which of the following is the most likely mechanism of SLE's complication in this patient?

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

Правильна відповідь: B. Immune complex-mediated glomerular disease