Nephrology Q45

A 38-year-old woman is evaluated during a follow-up visit for primary membranous glomerulopathy. Diagnosis was made by kidney biopsy 4 months ago, and she was found to be positive for anti–phospholipase A2 receptor (PLA2R) antibodies. Medications are furosemide, losartan, and simvastatin. Recent age- and sex-appropriate cancer screening tests were normal. On physical examination, vital signs are normal. There is pitting lower extremity edema to the mid shins bilaterally.

Which of the following complications is this patient at greatest risk for developing?

A Gout

B Malignancy

C Renal cell carcinoma

D Venous thromboembolism

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