title: [Goodpasture's syndrome--case report].
abstract: BACKGROUND
  Goodpasture's syndrome is a rare, autoimmune disease characterized by pulmonary hemorrhage, glomerulonephritis and production of anti-GBM (glomerular basement membrane) antibodies. The etiology of this syndrome is still unknown. Goodpasture's syndrome usually starts with pulmonary hemorrhage, which is followed by symptoms of kidney disease. Laboratory findings often include: anemia, microhematuria, proteinuria, increased levels of urea and creatinine and anti-GBM antibodies. Diagnosis of this syndrome can be established by presence of pulmonary hemorrhage, pulmonary radiography, kidney biopsy and positive result of circulating anti-GBM antibodies. Treatment of this syndrome should be initiated as soon as possible using a combination of corticosteroids, cytostatics and plasmapheresis.
  
  
  METHODS
  The first symptoms in a nineteen-year-old female patient were caused by anemia. Two months later she reported symptoms of pulmonary hemorrhage. At that point of time she already had renal insufficiency and was immediately hospitalized. The same day we started therapy with corticosteroids, endoxan and plasmapheresis was initiated Recovery of pulmonary function was obtained, but kidney function was lost.
  
  
  CONCLUSIONS
  The most important thing in regard to Goodpasture's syndrome is quick diagnosis. Because of that, if patients report any kind of pulmonary hemorrhage, this syndrome must be considered At that point of time, kidney function is usually not irreversibly damaged. The second important thing in Goodpasture's syndrome is that treatment must be very aggressive using a combination of immunosuppressives and plasmapheresis. This is the only chance for these patients to avoid hemodialysis or death.
authors.affiliation: Institut za laboratorijsku medicinu, Klinicki centar, Novi Sad. bbvuckoeunet.yu
authors.forename: Biljana
authors.initials: B
authors.lastname: Vucković
authors.forename: Tatjana
authors.initials: T
authors.lastname: Ilić
authors.forename: Igor
authors.initials: I
authors.lastname: Mitić
authors.forename: Violeta
authors.initials: V
authors.lastname: Knezević
authors.forename: Slavenka
authors.initials: S
authors.lastname: Vodopivec
authors.forename: Slobodan
authors.initials: S
authors.lastname: Curić
mesh_terms: D000328:Adult; D019867:Anti-Glomerular Basement Membrane Disease / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans