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HardRheumatologyLupus nephritis evaluationca-mccqe1ca-rcpsc-im

A 28-year-old woman presents with a malar rash, photosensitivity and arthralgia. ANA is strongly positive; anti-dsDNA is positive, and complement levels are low. Creatinine is 80 µmol/L and urinalysis shows 2+ protein and 10-15 red cells per high-power field. What is the most appropriate next step regarding her renal involvement?

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