Goodpasture disease: Difference between revisions

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#REDIRECT [[Goodpasture syndrome]]
{{Infobox_Disease |
 
Name          = {{PAGENAME}} |
 
Image          = |
 
Caption        = |
 
DiseasesDB    = 5363 |
 
ICD10          = {{ICD10|M|31|0|m|30}} ([[ILDS]] M31.010) |
 
ICD9          = {{ICD9|446.21}} |
 
ICDO          = |
 
OMIM          = 233450 |
 
MedlinePlus    = 142|
 
MeshID        = D019867 |
 
}}
{{Goodpastures syndrome}}
 
'''For patient information click [[Goodpastures_syndrome_(patient_information)|here]]'''
 
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}
 
{{SK}} Anti-GBM nephritis with pulmonary hemorrhage; antiglomerular basement membrane disease; Goodpasture’s syndrome
== Diagnosis ==
 
Because of the vagueness of early symptoms and rapid progression of the disease, diagnosis is often not reached until very late in the course of the disease. Kidney [[biopsy]] is often the fastest way to secure the diagnosis and gain information about the extent of the disease and likely effect of treatment. Tests for anti-GBM [[antibody|antibodies]] may also be useful, combined with tests for antibodies to neutrophil cytoplasmic antigens, which are also directed against the patient’s own proteins.
 
== Treatment ==
 
Like many autoimmune diseases, Goodpasture’s syndrome responds well to treatment with [[corticosteroid]]s and [[immunosuppressant]]s.  These drugs dampen the body's normal immune response.  A serious side effect of this is that the patient may become more susceptible to infections. The concentration of anti-GBM antibodies in the blood may be reduced by [[apheresis]] to remove blood plasma and its replacement with an isotonic salt and protein solution. This course of treatment usually lasts between three and six months.
 
[[Antibiotic]] treatment of lung infection and stopping smoking may also help to reduce lung haemorrhaging.
 
However, none of these can reverse permanent kidney damage and so for patients who have suffered this, renal [[organ transplant|transplant]] once the disease has subsided may be the only option.
 
== See also ==
 
[[HLA-DR#DR2]]
 
== References ==
{{Reflist|2}}
 
== External links ==
 
[http://www.antibodypatterns.com/gbm.php GBM antibodies: immunofluorescence image]
 
{{Diseases of the musculoskeletal system and connective tissue}}
 
[[Category:Autoimmune diseases]]
[[Category:Kidney diseases]]
[[Category:Rheumatology]]
 
[[de:Goodpasture-Syndrom]]
 
[[es:Síndrome de Goodpasture]]
 
[[ja:グッドパスチャー症候群]]
 
[[ru:Синдром Гудпасчера]]
 
[[fi:Goodpasturen oireyhtymä]]
 
[[sv:Goodpastures syndrom]]
 
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Latest revision as of 16:45, 8 June 2016