title: Anti-glomerular basement membrane nephritis after extracorporeal shock wave lithotripsy.
abstract: 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.
authors.affiliation: Third Department of Internal Medicine, Kinki University School of Medicine, Osaka, Japan.
authors.forename: I
authors.initials: I
authors.lastname: Iwamoto
authors.forename: S
authors.initials: S
authors.lastname: Yonekawa
authors.forename: T
authors.initials: T
authors.lastname: Takeda
authors.forename: M
authors.initials: M
authors.lastname: Sakaguchi
authors.forename: T
authors.initials: T
authors.lastname: Ohno
authors.forename: H
authors.initials: H
authors.lastname: Tanaka
authors.forename: H
authors.initials: H
authors.lastname: Hasegawa
authors.forename: A
authors.initials: A
authors.lastname: Imada
authors.forename: A
authors.initials: A
authors.lastname: Horiuchi
authors.forename: T
authors.initials: T
authors.lastname: Umekawa
authors.forename: T
authors.initials: T
authors.lastname: Kurita
mesh_terms: 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*