A 25 years old female develops serous otitis media of left ear with cough and occasional hemoptysis and hematuria and epistaxis for one and half months her hemoglobin is 7 gm. B.P.-->170/100,ptoreinuria +++,RA -ve and ANCA -ve.The likely cause is

• A. Wegner's granulo matosis
• B. Rheumatoid arthritis
• C. Rapidly proliferative glomerulonephritis
• D. Good pasteur's syndrome