Case 4

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A 59-year-old female presents with acute renal failure, a creatinine of 10.0 mg/dL, and active urine sediment with many RBC’s & RBC casts.

Questions

  1. What are the predominant pathologic findings seen on renal biopsy?
  2. Immunofluorescence is entirely negative. What serologic study would most likely be positive in this patient?

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