Question

A 30-year-old woman with systemic lupus erythematosus presents with new-onset nephrotic-range proteinuria and rising creatinine. Which investigation is most important to guide management?

Accepted Answer

Kidney biopsy

Answer

Renal ultrasound only

Answer

Serum ANA and anti-dsDNA titres only

Answer

CT abdomen

Answer

24-hour ambulatory blood pressure monitoring only

Practice question

A 30-year-old woman with systemic lupus erythematosus presents with new-onset nephrotic-range proteinuria and rising creatinine. Which investigation is most important to guide management?