Anti-glomerular basement membrane nephritis after extracorporeal shock wave lithotripsy.
Rapidly progressive glomerulonephritis was observed in a 37-year-old woman following the administration of extracorporeal shock wave lithotripsy (ESWL) for a single stone in her right kidney. The renal biopsy specimen showed diffuse cellular crescents in all glomeruli, with linear deposits of immunoglobulin G and complement component C3 along the glomerular basement membrane (GBM). Circulating anti-GBM antibodies were detected by enzyme-linked immunosorbent assay. Thus, the patient was diagnosed with anti-GBM nephritis. It is suggested that ESWL produced an alteration in the GBM leading to the production of anti-GBM antibodies.
Iwamoto
I
I
Third Department of Internal Medicine, Kinki University School of Medicine, Osaka, Japan.
Yonekawa
S
S
Takeda
T
T
Sakaguchi
M
M
Ohno
T
T
Tanaka
H
H
Hasegawa
H
H
Imada
A
A
Horiuchi
A
A
Umekawa
T
T
Kurita
T
T
D000328:Adult; D019867:Anti-Glomerular Basement Membrane Disease / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy; D007678:Kidney Glomerulus / Q000473:pathology; D008096:Lithotripsy / Q000009:adverse effects*