
Correct!
4. 
Granulomatosis with polyangiitis
Positive c-ANCA  testing is not associated with the other 
diagnoses listed. The results of the  renal biopsy- segmental necrotizing 
glomerulonephritis- are typical of granulomatosis  with polyangiitis).
Diagnosis:   Granulomatosis with polyangiitis (aka 
ANCA-associated  granulomatous vasculitis or Wegener’s Granulomatosis)
References
  - Ananthakrishnan 
  L, Sharma 
  N, Kanne 
  JP. Wegener's granulomatosis in the chest: high-resolution CT findings. 
  AJR  Am J Roentgenol. 2009; 192(3):676-682.
 
  - Martinez 
  F, Chung 
  JH, Digumarthy 
  SR, Kanne 
  JP, Abbott 
  GF, Shepard 
  JO, Mark 
  EJ, Sharma 
  A. Common and uncommon manifestations  of Wegener granulomatosis  at chest 
  CT: radiologic-pathologic correlation. Radiographics. 
  2012; 32(1):51-69.
 
  - Falk RJ, Gross WL, Guillevin L, Hoffman GS, Jayne DR, 
  Jennette JC,  Kallenberg CG, Luqmani R, Mahr AD, Matteson EL, Merkel PA, 
  Specks U, Watts RA,  American College of Rheumatology, American Society of 
  Nephrology, European  League Against Rheumatism. Granulomatosis with 
  polyangiitis (Wegener's):  an alternative name for Wegener's  granulomatosis. 
  Arthritis Rheum. 2011; 63(4):863-864.
 
  - Yi ES and Colby TV. Wegener’s granulomatosis. Semin  Diagn 
  Pathol. 2001; 18(1):34-46.
 
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