A 25 years old female develops serous otitis media of left ear with cough and occasional hemoptysis and hematuria and epistaxis for one & half months her hemoglobin is 7 gm. B.P.-->170/100, ptoreinuria +++, RA - ve and ANCA - ve. the likely cause is
Wegener's granulomatosis Rheumiatoid arthritis Rapidly proliferative glomerulonep hritis Good pasteur's syndrome