Anti-glomerular basement membrane (GBM) antibody disease

This is an automimmune disease in which autoantibodies are directed against type IV collagen. About 60% have concomittent affection of both glomerular basement membrane and the alveolar capillary membrane which share the same target antigen. This association is known as Goodpasture's syndrome. The binding of antigen to antibody results in an inflammatory reaction.

Clinical manifestations

It usually presents with rapidly progressive renal failure with or without pulmonary hemorrhage.

Diagnosis

Serum Anti-GBM, renal biopsy in addition to other biopsies from the skin, lungs and nasal mucosa which maybe required to establish the diagnosis.

Treatment

The idea is to remove the anti-GBM from serum while at the same time suppressing the new formation of antibodies.

High dose oral prednisone (60mg PO qd tapered over 8 weeks) + CPX 2mg/kg PO qd for 8 weeks in concert with total volume plasma exchange.

previous.gif (72x17 -- 347 bytes) next.gif (72x17 -- 277 bytes)

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us