title: [Anti-glomerular basement membrane antibody-mediated glomerulonephritis remarkably improved by pulse therapy with methylprednisolone, plasmapheresis and continuous heparin infusion].
abstract: The patient, a 28 year-old-man, was admitted to a hospital because of general fatigue and fever. He was pointed out renal dysfunction and was transferred to Nagasaki University Hospital. The laboratory data on admission showed moderate azotemia (BUN 43 mg/dl, Cr 5.4 mg/dl). A percutaneous renal biopsy on admission revealed a diffuse crescentic glomerulonephritis. A direct immunofluorescence of renal biopsy showed a linear pattern for IgG along the glomerular basement membrane. Radioimmunoassay of his serum for circulating anti-GBM antibody was strongly positive. Aggressive treatment with pulse therapy (methylprednisolone), plasmapheresis, and continuous heparin infusion was performed. He had markedly recovered from renal failure and escaped hemodialysis. The patient is making satisfactory process after 3 years.
authors.forename: K
authors.initials: K
authors.lastname: Takashima
authors.forename: S
authors.initials: S
authors.lastname: Syukuwa
authors.forename: N
authors.initials: N
authors.lastname: Iwanaga
authors.forename: H
authors.initials: H
authors.lastname: Sakata
authors.forename: R
authors.initials: R
authors.lastname: Yasumori
authors.forename: M
authors.initials: M
authors.lastname: Tadokoro
authors.forename: S
authors.initials: S
authors.lastname: Kohara
authors.forename: T
authors.initials: T
authors.lastname: Tanaka
authors.forename: S
authors.initials: S
authors.lastname: Matsuo
authors.forename: Y
authors.initials: Y
authors.lastname: Muraya
mesh_terms: D000328:Adult; D000906:Antibodies / Q000276:immunology*; D001323:Autoantibodies; D015433:Glomerulonephritis, Membranous / Q000276:immunology / Q000473:pathology / Q000628:therapy*; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D007262:Infusions, Intravenous; D007668:Kidney / Q000276:immunology / Q000473:pathology; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage*; D010956:Plasmapheresis
chemical_list: D000906:Antibodies; D001323:Autoantibodies; D007074:Immunoglobulin G; C051951:antiglomerular basement membrane antibody; D006493:Heparin; D008775:Methylprednisolone