一名 55 歲男性,常有復發性副鼻竇感染,檢驗數據顯示紅血球沉降速率上升,抗中性球細胞質抗體(Anti-neutrophil cytoplasmic antibody; ANCA)呈現陽性細胞質型(Cytoplasmic)ANCA,但核週型(Perinuclear)ANCA 呈陰性反應,病人同時發生快速腎功能變壞及少尿。下列病理變化中何者最能代表其腎絲球病變?
- Crescentic membranous proliferative glomerulonephritis
- IgA crescentic glomerulonephritis
- Pauci-immune crescentic glomerulonephritis
- Acute(postinfectious)proliferative glomerulonephritis