<prompt> A patient presents with respiratory symptoms, i.e. cough, hemoptysis and glomerulonephritis. His c-ANCA levels in serum were found to be raised. The most likely diagnosis isGoodpastures syndromeClassic polyarteritis nodosaKawasakis syndromeWegeners granulomatosis  <response>: Both Wegeners granulomatosis and Goodpastures syndrome can present similarly but presence of c-ANCA makes a diagnosis of Wegeners granulomatosis. 