Glomerular Diseases USMLE Step 1 Practice Question
A 62-year-old woman with a history of systemic sclerosis presents with acute kidney injury, hypertension (200/120 mmHg), and microangiopathic hemolytic anemia. Serum creatinine increased from 1.0 to 3.2 mg/dL over 3 days. Kidney biopsy shows acute tubular necrosis and thrombotic microangiopathy. Which of the following is the most likely diagnosis?
Answer choices
- AScleroderma renal crisisCorrect answer
- BAnti-GBM disease
- CPreeclampsia
- DThrombotic thrombocytopenic purpura
- EHemolytic uremic syndrome
- FAcute poststreptococcal glomerulonephritis
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