假设检査结果示:血常规:Hb85g/L,WBC2.3X109/L,PLT64X109/L,补体C3,C4降低，ANA+，dsDNA+,彩超示左肾10.5cmX5.6cm，右肾10.4cmX5.2cm。患者最有可能的临床诊断是

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