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8533 Medicine

A 46 year old female complains of chronic cough for the past 3 weeks. She was recently diagnosed with hypertension and placed on an angiotensin receptor blocker therapy (ARBs). Chest X-ray shows large nodular densities bilaterally. Bronchial biopsy showed granulomatous inflammation of the pulmonary artery. Lab investigations showed a positive cANCA with a serum creatinine of 3.6mg/dl. Urine analysis shows RBC casts and hematuria. The most likely cause for this presentation is

AHypertensive medication
BMicroscopic polyangitis
CGranulamatosis with polyangitis
DChurg-Strauss Syndrome
Medicine
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