試題詳解

1. 26歲女病人因腳水腫2星期後就醫.檢驗結果發現,有白血球及血小板減少及大量蛋白尿(每天8公克).ANA陽性(1:1280),anti-DNA陽性(1:640)及補體C3,C4下降,Bun/Cr在正常範圍.請問最佳的推荐治療為何?
(A) Azathioprine + hydroxychloroquine
(B) Cyclosphosphamide + azathioprine
(C) Methotrexate + steroids
(D) Steroids + intravenous immunoglobulin (IVIG)
(E) Mycophenolate mofetil + steroids