09-22-2007, 09:33 AM
A 31-year-old woman has noted chest pain for the past week. On physical examination she has decreased breath sounds with dullness to percussion at lung bases. A chest radiograph shows modest bilateral pleural effusions. On chest CT scan, the pleural effusions, as well as a pericardial effusion, are seen. A thoracentesis on the left yields clear fluid with a low protein and cell count. She is found to have an anti-double stranded DNA titer of 1:512. If she is later found to have a serum urea nitrogen that is 55 mg/dL, it will most likely be the result of which of the following pathologic processes?
A Atherosclerosis
B Glomerular immune deposits
C Amyloid deposition
D Vascular chronic inflammation
E Anti-glomerular basement membrane antibody
A Atherosclerosis
B Glomerular immune deposits
C Amyloid deposition
D Vascular chronic inflammation
E Anti-glomerular basement membrane antibody