<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 26-year-old African-American woman comes to the physician because of a 4-day history of a nonproductive cough and chest pain. The pain is sharp and worse when she breathes deeply. During this time, she has also had two episodes of hematuria. Over the past 6 months, she has had intermittent pain, stiffness, and swelling in her fingers and left knee. She had two miscarriages at age 22 and 24. Her only medication is minocycline for acne vulgaris. Her temperature is 38.1C 100.6F, pulse is 75min, and blood pressure is 13885 mm Hg. Physical examination shows an erythematous rash on her face. There is mild tenderness over the metacarpophalangeal joints bilaterally with no warmth or erythema. Further evaluation of this patient is most likely to show which of the following findings?? A: Anti-histone antibodies, B: Low serum levels of C3 and C4, C: Erosions of the metacarpophalangeal joints, D: Bilateral enlargement of the hilar lymph nodes, E: Cytotoxic glomerular antibodies,  <response>: This is a clinical vignette describing a 26-year-old African American woman with a 4-day history of nonproductive cough, chest pain, hematuria, and joint painswelling. She also has a history of miscarriages. On exam she has a rash and joint tenderness. The key findings here are:- Respiratory symptoms cough, chest pain - Kidney involvement hematuria- Joint involvement pain, swelling, tenderness - Rash- History of miscarriagesThis presentation is most consistent with systemic lupus erythematosus SLE. SLE is an autoimmune disease that can affect multiple organ systems including the lungs, kidneys, joints, and skin. Miscarriages can also occur. The correct answer will likely relate to a serologic or radiographic finding that supports the diagnosis of SLE.B: Low serum levels of C3 and C4 