試題詳解

6. 一位22歲女性，有三年SLE (Systemic Lupus Erythematosus)病史，但沒有規則服藥。最近一週出現喘、水腫、尿量減少，體重增加近7公斤。住院血壓154/94 mmHg，抽血檢查: BUN 98 mg/dL，creatinine 3.6 mg/dL, urine protein (4+)。因為急性腎損傷(acute kidney injury, AKI)，安排病人接受腎臟生檢(renal biopsy)，以下病理變化，何者最不可能?
(A) Focal segmental glomerulosclerosis (FSGS)
(B) Diffuse proliferative nephritis with diffuse subendothelial deposit
(C) Membranous glomerulonephritis with subepithelial immune complex deposit
(D) Global endocapillary proliferation, crescent formation
(E) Glomerular necrotizing lesion, may present with vascular lesion