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Question category: Nephrology

A 37 year old male has a history of rhinorrhoea , recurrent sinusitis, joints pains and cough with occasional haemoptysis. On dipstick of his urine there is evidence of proteinuria and haematuria. Bloods reveal acute renal failure and autoantibodies reveal a positive cANCA. Given the likely diagnosis, what would you expect to find on renal biopsy?

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