Polman Jeremy, Panzarello Rory, Patel Pratik, Tati Vasudev
Baton Rouge General Internal Medicine Residency Program, USA.
Respir Med Case Rep. 2020 Nov 7;31:101282. doi: 10.1016/j.rmcr.2020.101282. eCollection 2020.
Anti-glomerular basement membrane disease (anti-GBM) is a well-documented, small vessel vasculitis that is classically associated with glomerulonephritis and alveolitis [1]. However, regardless of clinical process, not every patient will present with a constellation of classically associated symptoms. Literature review demonstrates that early anti-GBM disease can present as glomerulonephritis without alveolitis [2,3]. In this case report, we describe the unique clinical course of a 26-year-old male who originally presented with hemoptysis and his subsequent clinical workup revealing anti-glomerular basement membrane disease without renal involvement.
抗肾小球基底膜病(anti-GBM)是一种有充分文献记载的小血管炎,典型表现为肾小球肾炎和肺泡炎[1]。然而,无论临床过程如何,并非每个患者都会出现一系列典型相关症状。文献综述表明,早期抗GBM病可表现为无肺泡炎的肾小球肾炎[2,3]。在本病例报告中,我们描述了一名26岁男性独特的临床病程,该患者最初表现为咯血,随后的临床检查发现患有无肾脏受累的抗肾小球基底膜病。