title: [A patient with Goodpasture's syndrome revealed a poor prognosis regardless of receiving intensive therapy from an early stage after onset].
abstract: Goodpasture's syndrome has been reported as a disease that has a favorable prognosis when the patient receives intensive immunosuppressive drug-therapy from an early stage after onset. The present report describes a 50-year-old woman, who exhibited progressive renal failure accompanied by pulmonary hemorrhage, and an increase in serum level of antiglomerular basement membrane (GBM) antibody. Initial histological examination of a renal specimen indicated a severe fibrocellular crescentic glomerulonephritis with a linear deposition of Ig-G and C3 along the glomerular capillary wall. The patient was thus diagnosed as having Goodpasture's syndrome. Therapy with pulse treatment of steroid (corticosteroid hormone), immunosuppressive agents, or plasma-exchange for the removal of anti-GBM antibody was adopted a week after the clinical onset. However, histological amelioration of the glomeruli did not occur with this treatment in the second biopsy, while glomerular damage advanced progressively. In contrast to other patients with Goodpasture's syndrome, our case revealed an unfavorable outcome regardless of receiving intensive therapy from an early period after onset, which suggests that more intensive therapy of another approach to this patient may have been necessary.
authors.affiliation: First Department, Oita Medical University, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Hidaka
authors.forename: K
authors.initials: K
authors.lastname: Kaneda
authors.forename: S
authors.initials: S
authors.lastname: Shite
authors.forename: K
authors.initials: K
authors.lastname: Ohkuma
authors.forename: H
authors.initials: H
authors.lastname: Yoshimatsu
authors.forename: M
authors.initials: M
authors.lastname: Horita
authors.forename: E
authors.initials: E
authors.lastname: Miyazaki
authors.forename: S
authors.initials: S
authors.lastname: Takebayashi
authors.forename: T
authors.initials: T
authors.lastname: Sakata
mesh_terms: D019867:Anti-Glomerular Basement Membrane Disease / Q000188:drug therapy* / Q000473:pathology; D018450:Disease Progression; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D008775:Methylprednisolone / Q000008:administration & dosage*; D008875:Middle Aged; D011379:Prognosis
chemical_list: D008775:Methylprednisolone