Search
anti-glomerular basement membrane (GBM) antibody
Etiolohy:
- anti-glomerular basement membrane [GBM] disease
- Goodpasture's syndrome
- tubulointerstitial nephritis
Pathology:
- the antigen is an epitope from type 4 collagen found in alveolar & glomerular basement membranes
- > 50% have lung involvement with hemoptysis, shortness of breath. or cough
Laboratory:
- glomerular basement membrane Ab in serum
Management:
- plasmapheresis
- pulse glucocorticoid followed by oral prednisone
- cyclophosphamide [2]
Related
anti-glomerular basement membrane [GBM] disease
glomerular basement membrane (GBM)
glomerular basement membrane (GBM) antibody in serum
Goodpasture's syndrome
General
anti-basement membrane autoantibody
References
- Clinical Guide to Laboratory Tests, 3rd ed. Teitz ed.,
W.B. Saunders, 1995
- Medical Knowledge Self Assessment Program (MKSAP) 18,
American College of Physicians, Philadelphia 2018