Mathew T H, Hobbs J B, Kalowski S, Sutherland P W, Kincaid-Smith P
Ann Intern Med. 1975 Feb;82(2):215-8. doi: 10.7326/0003-4819-82-2-215.
A patient with Goodpasture's syndrome is described in whom pulmonary manifestations were dramatic, but in whom renal abnormalities were minor and only found on fluorescent and electron microscopy. His urine showed no proteinuria and no increase in cells in quantitative counts, and renal function was normal. It is suggested that there may be an indication for carrying out renal biopsies in patients with idiopathic pulmonary haemosiderosis and that this may lead to an early diagnosis of Goodpasture's syndrome.
本文描述了一名患有古德帕斯彻综合征的患者，其肺部表现显著，但肾脏异常轻微，仅在荧光和电子显微镜下发现。他的尿液中无蛋白尿，定量计数时细胞也无增加，且肾功能正常。有人提出，对于特发性肺含铁血黄素沉着症患者，可能有必要进行肾活检，这可能会早期诊断出古德帕斯彻综合征。
