26th June 2023

A 38-year-old female attends the renal clinic. On examination, she has bluish white fingers

A 38-year-old female attends the renal clinic. On examination, she has bluish white fingers which she says are always cold, a reticular mottled rash on her legs as well as a rash across her cheeks, general arthralgia, and fatigue. She has been referred as the GP is concerned about worsening renal function and her urine dipstick was positive for blood and protein. What is the most likely nephropathy?

Select the SINGLE most appropriate option from the list below. Select ONE option only.