Atypical Goodpasture’s disease: a clinical case report and literature review

Goodpasture’s disease (anti-GBM disease) is a rare small vessels vasculitis characterized by the presence of autoantibodies directed against the glomerular basement membrane (GBM) and alveolar basement membrane. Common feature of anti-GBM disease is a combination of rapidly progressive glomeruloneph...

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Main Authors: M L Bulanova, D V Potapov, N M Bulanov, L V Lysenko(Kozlovskaya)
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2018-06-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/viewFile/32816/pdf
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author M L Bulanova
D V Potapov
N M Bulanov
L V Lysenko(Kozlovskaya)
author_facet M L Bulanova
D V Potapov
N M Bulanov
L V Lysenko(Kozlovskaya)
author_sort M L Bulanova
collection DOAJ
description Goodpasture’s disease (anti-GBM disease) is a rare small vessels vasculitis characterized by the presence of autoantibodies directed against the glomerular basement membrane (GBM) and alveolar basement membrane. Common feature of anti-GBM disease is a combination of rapidly progressive glomerulonephritis and alveolar hemorrhage (pulmonary-renal syndrome). We present a case of atypical disease course in a young male patient who developed alveolar hemorrhage without renal failure. The only symptom of renal involvement was isolated hematuria. Plasmapheresis combined with immunosuppression (cyclophosphamide and corticosteroids) was effective. We present a review of state-of-art data on the pathogenesis and disease course of anti-GBM disease.
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spelling doaj.art-620997d7db8c4f909fc362a0f46f05ae2022-12-22T00:52:54Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422018-06-0190613013610.26442/terarkh2018906130-13629568Atypical Goodpasture’s disease: a clinical case report and literature reviewM L Bulanova0D V Potapov1N M Bulanov2L V Lysenko(Kozlovskaya)3Vladimir Regional Clinical HospitalVladimir Regional Clinical HospitalI.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Goodpasture’s disease (anti-GBM disease) is a rare small vessels vasculitis characterized by the presence of autoantibodies directed against the glomerular basement membrane (GBM) and alveolar basement membrane. Common feature of anti-GBM disease is a combination of rapidly progressive glomerulonephritis and alveolar hemorrhage (pulmonary-renal syndrome). We present a case of atypical disease course in a young male patient who developed alveolar hemorrhage without renal failure. The only symptom of renal involvement was isolated hematuria. Plasmapheresis combined with immunosuppression (cyclophosphamide and corticosteroids) was effective. We present a review of state-of-art data on the pathogenesis and disease course of anti-GBM disease.https://ter-arkhiv.ru/0040-3660/article/viewFile/32816/pdfgoodpasture’s diseaseanti-gbm diseaseanti-glomerular basement membrane antibodiespulmonary hemorrhageplasmapheresis
spellingShingle M L Bulanova
D V Potapov
N M Bulanov
L V Lysenko(Kozlovskaya)
Atypical Goodpasture’s disease: a clinical case report and literature review
Терапевтический архив
goodpasture’s disease
anti-gbm disease
anti-glomerular basement membrane antibodies
pulmonary hemorrhage
plasmapheresis
title Atypical Goodpasture’s disease: a clinical case report and literature review
title_full Atypical Goodpasture’s disease: a clinical case report and literature review
title_fullStr Atypical Goodpasture’s disease: a clinical case report and literature review
title_full_unstemmed Atypical Goodpasture’s disease: a clinical case report and literature review
title_short Atypical Goodpasture’s disease: a clinical case report and literature review
title_sort atypical goodpasture s disease a clinical case report and literature review
topic goodpasture’s disease
anti-gbm disease
anti-glomerular basement membrane antibodies
pulmonary hemorrhage
plasmapheresis
url https://ter-arkhiv.ru/0040-3660/article/viewFile/32816/pdf
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AT dvpotapov atypicalgoodpasturesdiseaseaclinicalcasereportandliteraturereview
AT nmbulanov atypicalgoodpasturesdiseaseaclinicalcasereportandliteraturereview
AT lvlysenkokozlovskaya atypicalgoodpasturesdiseaseaclinicalcasereportandliteraturereview