This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Immunology and Rheumatology, Subject name: Medicine
[{'content': "Which of these doesn't present with granulomatous Vasculitis? \nSelect and explain. \nA. Polyarteritis nodosa, B. Wegeners, C. Churg strauss syndrome, D. Microscopic polyangitis", 'role': 'user'}, {'content': 'Answer: D \nExplanation: Ans. (d) Microscopic polyangitisRef: Harrison 19th ed. / 2186* MPA is characterized by pauci-immune, necrotizing, small vessel vasculitis without clinical or pathological evidence of granulomatous inflammation* The family of vasculitic granulomatoses comprise# Wegener s granulomatosis# Necrotising sarcoidal granulomatosis# Churg-Strauss syndrome# Lymphomatoid granulomatosis# Polyarteritis nodosa# Bronchocentric granulomatosis# Giant cell arteritis# Systemic lupus erythematosus.', 'role': 'assistant'}]