Question

A 50-year-old woman presents with persistent fatigue, joint pains and a malar rash. ANA is positive, and you suspect systemic lupus erythematosus (SLE). Which screening test is most appropriate to assess for lupus nephritis at this stage?

Accepted Answer

Random urine protein:creatinine ratio and urinalysis for haematuria

Answer

Serum creatinine only

Answer

Kidney biopsy in all patients with suspected SLE

Answer

CT scan of the kidneys

Answer

Serum complement levels only

Practice question

A 50-year-old woman presents with persistent fatigue, joint pains and a malar rash. ANA is positive, and you suspect systemic lupus erythematosus (SLE). Which screening test is most appropriate to assess for lupus nephritis at this stage?