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Goodpasture syndrome

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preferred targeting of these alpha-3 collagen chains specifically in the basal membranes of glomerular and alveolar capillaries can be explained by the higher accessible exposure of epitopes, a larger expansion of the alpha-3 collagen units, and because these alpha-3 collagen chains structurally provide higher accessibility for the targeting antibodies. These antibodies bind their reactive
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production of anti-GBM antibodies. The major target of these abnormal antibodies is the non-collagen domain of the alpha-3 chain of type 4 collagen, which is mostly found in the basal membranes of glomerular and alveolar capillaries, explaining the obscurely specific symptoms of this condition. This
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primarily attack the kidneys and lungs, although, generalized symptoms like malaise, weight loss, fatigue, fever, and chills are also common, as are joint aches and pains. 60–80% of those with the condition experience both lung and kidney involvement; 20–40% have kidney involvement alone, and less
281:). Exposure to dry cleaning chemicals and paraquat herbicide have also been implicated as potential insults. In GPS, anti-GBM antibodies are produced and circulated throughout the bloodstream, damaging the membranes lining the lungs and kidneys as well as targeting their capillaries. 319:
The diagnosis of GPS is often difficult, as numerous other diseases can cause the various manifestations of the condition and the condition itself is rare. The most accurate means of achieving the diagnosis is testing the affected tissues by means of a
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demonstrated that in patients requiring renal replacement therapy (including dialysis) the median survival time is 5.93 years. Without treatment, virtually every affected person will die from either advanced kidney failure or lung hemorrhages.
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to the basement membranes and activate the complement cascade, leading to the death of tagged cells. A specific antibody and epitope binding that shows the highest affinity and is pathogenic occurs between
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Goodpasture's syndrome, Goodpasture disease, Goodpasture's disease, anti–glomerular basement membrane disease, anti–glomerular basement membrane antibody disease, anti-GBM disease, anti-GBM antibody disease
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In addition, if there is substantial suspicion of the disease, serologic testing for ELISA assay is usually done by looking for alpha3 NC1 domain area of collagen IV in order to avoid false positives.
249:. In addition to genetic susceptibility, an initial environmental insult to the pulmonary vasculature is needed to allow the anti-glomerular basement membrane (anti-GBM) antibodies to reach the 328:
in their bloodstream, which often predates the anti-GBM antibodies by about a few months or even years. The later the disease is diagnosed, the worse the outcome is for the affected person.
139:, which has therefore been referred to as Goodpasture's antigen. Goodpasture syndrome may quickly result in permanent lung and kidney damage, often leading to death. It is treated with 667: 1368: 724: 2090: 1847: 395:
With treatment, the five-year survival rate is >80% and fewer than 30% of affected individuals require long-term dialysis. A study performed in
223:. Some other signs and symptoms that could be used to identify Goodpasture syndrome during a physical exam include an increased respiratory rate, 1979: 1361: 2585: 2785: 2724: 1249: 1143: 351:
contains the anti-GBM antibodies that attack the affected person's lungs and kidneys, and is filtered out. The other parts of the blood (the
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Kathuria, P; Sanghera, P; Stevenson, FT; Sharma, S; Lederer, E; Lohr, JW; Talavera, F; Verrelli, M (21 May 2013). Batuman, C (ed.).
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Kathuria, P; Sanghera, P; Stevenson, FT; Sharma, S; Lederer, E; Lohr, JW; Talavera, F; Verrelli, M (21 May 2013). Batuman, C (ed.).
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Kathuria, P; Sanghera, P; Stevenson, FT; Sharma, S; Lederer, E; Lohr, JW; Talavera, F; Verrelli, M (21 May 2013). Batuman, C (ed.).
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Kathuria, P; Sanghera, P; Stevenson, FT; Sharma, S; Lederer, E; Lohr, JW; Talavera, F; Verrelli, M (21 May 2013). Batuman, C (ed.).
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in that it is more common in males than in females and is also less common in blacks than whites, but more common in the
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antibodies so as to prevent further damage to the kidneys and lungs. Other, less toxic immunosuppressants such as
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GPS is rare, affecting about 0.5–1.8 per million people per year in Europe and Asia. It is also unusual among
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Marques, C., et al. (2020). Review on anti-glomerular basement membrane disease or Goodpasture's syndrome.
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of New Zealand. The peak age ranges for the onset of the disease are 20–30 and 60–70 years.
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are also implicated, though it is generally considered a type II hypersensitivity reaction.
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Borza, D., et al. (2003). Pathogenesis of Goodpasture syndrome: a molecular perspective.
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Salama AD, Levy JB, Lightstone L, Pusey CD (September 2001). "Goodpasture's disease".
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While the exact cause is unknown, the genetic predisposition to GPS involves the
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Thibaud, V.; Rioux-Leclercq, N.; Vigneau, C.; Morice, S. (December 2019).
277:, high-oxygen environments, and antilymphocyte therapies (especially with 2190: 1470: 1450: 1434: 1090: 400: 262: 253:. Examples of such an insult include: exposure to organic solvents (e.g. 200: 89: 1001: 372: 344: 254: 216: 191: 156: 93: 85: 65: 1121: 215:. Lung symptoms usually antedate kidney symptoms and usually include: 195:
than 10% have lung involvement alone. Kidney symptoms usually include
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Greco, A., et al. (2015). Goodpasture's syndrome: A clinical update.
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that was shown to be anti–glomerular basement membrane disease,
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The disease was first described by an American pathologist
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and the various components separated based on weight. The
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in lungs and kidneys, leading to bleeding from the lungs,
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antibodies and the anti-GBM epitope region, designated E
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DeVrieze, Bradley; Hurley, John (26 September 2022).
2524: 991: 698:. Treasure Island, FL, US: StatPearls Publishing. 27:"Goodpasture" redirects here. For other uses, see 951:"Goodpasture Syndrome Treatment & Management" 2762: 1848:Transfusion-associated graft-versus-host disease 910:Devrieze, B. W.; Hurley, J. A. (25 March 2020). 820:NORD (National Organization for Rare Disorders) 909: 691: 551: 2725:Eosinophilic granulomatosis with polyangiitis 2510: 1973: 1362: 1250:Eosinophilic granulomatosis with polyangiitis 1137: 641:"Goodpasture Syndrome Clinical Presentation" 2251:Transient bullous dermolysis of the newborn 665: 339:The major mainstay of treatment for GPS is 141:medications that suppress the immune system 2517: 2503: 2241:Recessive dystrophic epidermolysis bullosa 1980: 1966: 1369: 1355: 1144: 1130: 182:Diagram of a monomeric (one-unit) antibody 170:in 1919 and was later named in his honor. 98: 56: 514: 496: 114:anti–glomerular basement membrane disease 980:GBM antibodies: immunofluorescence image 177: 2591:Membranoproliferative/mesangiocapillary 1882:Allergic bronchopulmonary aspergillosis 1151: 944: 942: 940: 938: 936: 878: 876: 874: 769: 326:cytoplasmic antineutrophilic antibodies 137:the alpha-3 subunit of type IV collagen 14: 2763: 2086:Spondyloepiphyseal dysplasia congenita 767: 765: 763: 761: 759: 757: 755: 753: 751: 749: 634: 632: 630: 2498: 2367:Ullrich congenital muscular dystrophy 2211:Ullrich congenital muscular dystrophy 1961: 1704:Post-streptococcal glomerulonephritis 1350: 1125: 205:unexplained swelling of limbs or face 173: 2786:Systemic connective tissue disorders 2448:Congenital stromal corneal dystrophy 933: 871: 840:The Journal of Internal Medicine, 41 2332:Otospondylomegaepiphyseal dysplasia 2311:Schmid metaphyseal chondrodysplasia 746: 627: 387:may be used to maintain remission. 269:inhalation, metal dust inhalation, 24: 1296:Acute hemorrhagic edema of infancy 379:, to prevent the formation of new 284: 25: 2807: 2327:Weissenbacher–ZweymĂŒller syndrome 2236:Epidermolysis bullosa dystrophica 2091:Spondyloepimetaphyseal dysplasia, 1921:Autoimmune polyendocrine syndrome 1311:Cutaneous small-vessel vasculitis 1275:Cutaneous small-vessel vasculitis 973: 659: 209:high amounts of urea in the blood 2715:Granulomatosis with polyangiitis 2526:Disease of the kidney glomerules 2427:Junctional epidermolysis bullosa 1558:Hemolytic disease of the newborn 1236:Granulomatosis with polyangiitis 570:10.1097/00000441-191911000-00012 2791:Syndromes affecting the kidneys 2432:Laryngoonychocutaneous syndrome 1740:Subacute bacterial endocarditis 1602:Immune thrombocytopenic purpura 1306:Bullous small vessel vasculitis 903: 858: 845: 832: 808: 794: 407: 257:) or hydrocarbons, exposure to 123:in which antibodies attack the 717: 685: 584: 545: 531: 472: 447: 13: 1: 2289:Multiple epiphyseal dysplasia 1820:Postorgasmic illness syndrome 885:"Goodpasture Syndrome Workup" 666:Schwarz, MI (November 2013). 605:10.1016/S0140-6736(01)06077-9 440: 70:crescentic glomerulonephritis 2796:Syndromes affecting the lung 1877:Hypersensitivity pneumonitis 390: 334: 314: 188:glomerular basement membrane 159:are removed from the blood. 29:Goodpasture (disambiguation) 7: 2586:Endocapillary proliferative 1943:Systemic autoimmune disease 1779:Allergic contact dermatitis 1699:Hypersensitivity vasculitis 1582:Autoimmune hemolytic anemia 1301:Cryoglobulinemic vasculitis 423: 243:(HLA) system, specifically 10: 2812: 1449:common allergies include: 1202:Thromboangiitis obliterans 866:Seminars in Nephrology, 23 289:GPS is caused by abnormal 261:smoke, infection (such as 135:. It is thought to attack 110:Goodpasture syndrome (GPS) 26: 2737: 2701: 2668:Type III hypersensitivity 2662: 2640: 2624: 2599: 2571: 2543: 2532: 2480: 2440: 2417: 2397: 2381: 2348: 2319: 2303: 2281: 2259: 2225: 2189: 2164: 2145: 2115: 2049: 2013: 2004: 1903: 1869: 1860: 1838: 1792: 1771: 1752: 1722: 1676: 1661: 1620: 1572: 1565: 1551: 1521: 1496: 1411: 1388: 1323: 1288: 1267:Type III hypersensitivity 1265: 1219: 1210: 1182: 1159: 1081: 995: 729:rarediseases.info.nih.gov 672:Merck Manual Professional 498:10.1186/s12882-018-1197-6 79: 64: 55: 47: 42: 2720:Microscopic polyangiitis 2646:Type II hypersensitivity 1694:Henoch–Schönlein purpura 1509:Eosinophilic esophagitis 1255:Microscopic polyangiitis 853:Autoimmunity Reviews, 14 435:Pulmonary-renal syndrome 234: 2581:Mesangial proliferative 2024:Osteogenesis imperfecta 1810:Hashimoto's thyroiditis 1597:Guillain–BarrĂ© syndrome 552:Goodpasture EW (1919). 459:www.hopkinsmedicine.org 241:human leukocyte antigen 34:Rare autoimmune disease 2339:Type XI collagenopathy 2175:Ehlers–Danlos syndrome 2126:Ehlers–Danlos syndrome 2106:Type II collagenopathy 2035:Ehlers–Danlos syndrome 1911:Autoimmune adrenalitis 912:"Goodpasture Syndrome" 816:"Goodpasture Syndrome" 802:"Goodpasture Syndrome" 776:"Goodpasture Syndrome" 695:"Goodpasture Syndrome" 455:"Goodpasture Syndrome" 183: 2686:diffuse proliferative 2458:Urbach–Wiethe disease 2295:(types 2, 3, & 6) 2137:Sack–Barabas syndrome 2041:(types 1, 2, & 7) 279:monoclonal antibodies 181: 168:Vanderbilt University 2654:Goodpasture syndrome 1916:Autoimmune hepatitis 1895:Transplant rejection 1805:Giant cell arteritis 1735:Rheumatoid arthritis 1592:Goodpasture syndrome 1504:Autoimmune urticaria 1331:Goodpasture syndrome 1192:Polyarteritis nodosa 1174:Giant cell arteritis 1169:Takayasu's arteritis 251:alveolar capillaries 231:, and hypertension. 201:protein in the urine 43:Goodpasture syndrome 2771:Autoimmune diseases 1382:autoimmune diseases 1153:Systemic vasculitis 804:. 19 November 2019. 414:autoimmune diseases 221:shortness of breath 213:high blood pressure 2750:glomerulonephrosis 2745:glomerulonephritis 2676:Post-streptococcal 2389:Bullous pemphigoid 2060:Hypochondrogenesis 1825:Reactive arthritis 1815:Multiple sclerosis 1709:Reactive arthritis 1607:Pemphigus vulgaris 1587:Bullous pemphigoid 1488:Penicillin allergy 1424:Allergic urticaria 1336:Sneddon's syndrome 1082:External resources 985:2007-03-22 at the 955:Medscape Reference 889:Medscape Reference 780:Medscape Reference 645:Medscape Reference 461:. 19 November 2019 367:drugs, especially 229:hepatosplenomegaly 197:blood in the urine 184: 174:Signs and symptoms 164:Ernest Goodpasture 129:glomerulonephritis 121:autoimmune disease 2758: 2757: 2733: 2732: 2620: 2619: 2545:Non-proliferative 2492: 2491: 2413: 2412: 2405:Knobloch syndrome 2181:(types 1 & 2) 2132:(types 3 & 4) 2081:Marshall syndrome 2076:Stickler syndrome 1955: 1954: 1951: 1950: 1856: 1855: 1748: 1747: 1657: 1656: 1653: 1652: 1645:Pernicious anemia 1640:Myasthenia gravis 1517: 1516: 1440:Atopic dermatitis 1429:Allergic rhinitis 1344: 1343: 1319: 1318: 1119: 1118: 599:(9285): 917–920. 430:HLA-DR § DR2 365:immunosuppressant 357:white blood cells 217:coughing up blood 125:basement membrane 107: 106: 37:Medical condition 16:(Redirected from 2803: 2638: 2637: 2541: 2540: 2519: 2512: 2505: 2496: 2495: 2485:fibrous proteins 2470:DFNA8/12, DFNB21 2374: 2371: 2363: 2360: 2356:Bethlem myopathy 2336: 2296: 2293: 2274: 2271: 2267:Fuchs' dystrophy 2218: 2215: 2207: 2204: 2200:Bethlem myopathy 2182: 2179: 2133: 2130: 2102:Kniest dysplasia 2097: 2096:(Strudwick type) 2094: 2071: 2068: 2042: 2039: 2031: 2028: 2011: 2010: 2006:Collagen disease 1982: 1975: 1968: 1959: 1958: 1938:Sjögren syndrome 1867: 1866: 1769: 1768: 1674: 1673: 1570: 1569: 1549: 1548: 1409: 1408: 1378:Hypersensitivity 1371: 1364: 1357: 1348: 1347: 1217: 1216: 1197:Kawasaki disease 1146: 1139: 1132: 1123: 1122: 993: 992: 967: 966: 964: 962: 946: 931: 930: 928: 926: 907: 901: 900: 898: 896: 880: 869: 862: 856: 849: 843: 836: 830: 829: 827: 826: 812: 806: 805: 798: 792: 791: 789: 787: 771: 744: 743: 741: 740: 731:. 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1280:IgA vasculitis 1277: 1271: 1269: 1263: 1262: 1260: 1259: 1258: 1257: 1252: 1240: 1239: 1238: 1225: 1223: 1214: 1208: 1207: 1205: 1204: 1199: 1194: 1188: 1186: 1180: 1179: 1177: 1176: 1171: 1165: 1163: 1157: 1156: 1149: 1148: 1141: 1134: 1126: 1117: 1116: 1113: 1112: 1098: 1086: 1085: 1083: 1079: 1078: 1075: 1074: 1063: 1052: 1041: 1026: 1005: 1000: 999: 997: 996:Classification 990: 989: 975: 974:External links 972: 969: 968: 932: 902: 870: 868:(6), 522-531. 857: 855:(3), 246-253. 844: 831: 807: 793: 745: 716: 684: 658: 626: 583: 564:(6): 863–870. 544: 530: 485:BMC Nephrology 471: 445: 444: 442: 439: 438: 437: 432: 425: 422: 409: 406: 392: 389: 341:plasmapheresis 336: 333: 316: 313: 304: 300: 286: 283: 236: 233: 175: 172: 153:plasmapheresis 133:kidney failure 105: 104: 83: 77: 76: 62: 61: 53: 52: 49: 45: 44: 36: 33: 9: 6: 4: 3: 2: 2808: 2797: 2794: 2792: 2789: 2787: 2784: 2782: 2779: 2777: 2774: 2772: 2769: 2768: 2766: 2751: 2748: 2746: 2743: 2742: 2740: 2736: 2726: 2723: 2721: 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2172: 2170: 2167: 2163: 2157: 2154: 2153: 2151: 2148: 2144: 2138: 2135: 2127: 2124: 2123: 2121: 2118: 2114: 2107: 2103: 2100: 2098: 2089: 2087: 2084: 2082: 2079: 2077: 2074: 2072: 2063: 2061: 2058: 2057: 2055: 2052: 2048: 2036: 2033: 2025: 2022: 2021: 2019: 2016: 2012: 2009: 2007: 2003: 1999: 1995: 1991: 1983: 1978: 1976: 1971: 1969: 1964: 1963: 1960: 1944: 1941: 1939: 1936: 1932: 1929: 1927: 1924: 1923: 1922: 1919: 1917: 1914: 1912: 1909: 1908: 1906: 1902: 1896: 1893: 1890: 1889:Latex allergy 1887: 1883: 1880: 1879: 1878: 1875: 1874: 1872: 1868: 1865: 1859: 1849: 1846: 1845: 1843: 1841: 1837: 1831: 1828: 1826: 1823: 1821: 1818: 1816: 1813: 1811: 1808: 1806: 1803: 1801: 1798: 1797: 1795: 1791: 1785: 1782: 1780: 1777: 1776: 1774: 1770: 1767: 1764: 1759: 1758:cell-mediated 1755: 1751: 1741: 1738: 1736: 1733: 1731: 1728: 1727: 1725: 1721: 1715: 1712: 1710: 1707: 1705: 1702: 1700: 1697: 1695: 1692: 1690: 1689:Farmer's lung 1687: 1685: 1682: 1681: 1679: 1675: 1672: 1669: 1664: 1660: 1646: 1643: 1641: 1638: 1636: 1633: 1632: 1630: 1628: 1624: 1619: 1613: 1610: 1608: 1605: 1603: 1600: 1598: 1595: 1593: 1590: 1588: 1585: 1583: 1580: 1579: 1577: 1575: 1571: 1568: 1564: 1559: 1556: 1554: 1550: 1547: 1541: 1538: 1536: 1533: 1532: 1531: 1530: 1528: 1524: 1520: 1510: 1507: 1505: 1502: 1501: 1499: 1495: 1489: 1486: 1482: 1479: 1477: 1474: 1472: 1469: 1467: 1464: 1462: 1459: 1457: 1454: 1452: 1448: 1447: 1446: 1443: 1441: 1438: 1436: 1433: 1430: 1427: 1425: 1422: 1420: 1417: 1416: 1414: 1410: 1407: 1404: 1399: 1395: 1391: 1387: 1383: 1379: 1372: 1367: 1365: 1360: 1358: 1353: 1352: 1349: 1337: 1334: 1332: 1329: 1328: 1326: 1322: 1312: 1309: 1307: 1304: 1302: 1299: 1297: 1294: 1293: 1291: 1287: 1281: 1278: 1276: 1273: 1272: 1270: 1268: 1264: 1256: 1253: 1251: 1248: 1247: 1246: 1245: 1241: 1237: 1234: 1233: 1232: 1231: 1227: 1226: 1224: 1222: 1218: 1215: 1213: 1209: 1203: 1200: 1198: 1195: 1193: 1190: 1189: 1187: 1185: 1184:Medium vessel 1181: 1175: 1172: 1170: 1167: 1166: 1164: 1162: 1158: 1154: 1147: 1142: 1140: 1135: 1133: 1128: 1127: 1124: 1111: 1108: 1104: 1103: 1099: 1097: 1093: 1092: 1088: 1087: 1084: 1080: 1073: 1069: 1068: 1064: 1062: 1058: 1057: 1053: 1051: 1047: 1046: 1042: 1040: 1036: 1035: 1031: 1027: 1024: 1020: 1016: 1015: 1011: 1007: 1006: 1003: 998: 994: 988: 984: 981: 978: 977: 956: 952: 945: 943: 941: 939: 937: 921: 917: 913: 906: 890: 886: 879: 877: 875: 867: 861: 854: 848: 841: 835: 821: 817: 811: 803: 797: 781: 777: 770: 768: 766: 764: 762: 760: 758: 756: 754: 752: 750: 735:on 2020-11-23 734: 730: 726: 720: 705: 701: 697: 696: 688: 673: 669: 662: 646: 642: 635: 633: 631: 622: 618: 614: 610: 606: 602: 598: 594: 587: 579: 575: 571: 567: 563: 559: 555: 548: 540: 539:"COL4A3 gene" 534: 526: 522: 517: 512: 508: 504: 499: 494: 490: 486: 482: 475: 460: 456: 450: 446: 436: 433: 431: 428: 427: 421: 419: 415: 405: 402: 398: 388: 386: 382: 378: 374: 370: 366: 362: 358: 354: 350: 346: 342: 332: 329: 327: 323: 312: 310: 297: 292: 282: 280: 276: 272: 268: 264: 260: 256: 252: 248: 247: 242: 232: 230: 226: 222: 218: 214: 210: 206: 202: 198: 193: 189: 180: 171: 169: 165: 160: 158: 154: 150: 146: 142: 138: 134: 130: 126: 122: 119: 115: 111: 101: 95: 91: 87: 84: 82: 78: 75: 71: 67: 63: 59: 54: 50: 46: 41: 30: 19: 2707:Pauci-immune 2703:Type III RPG 2653: 2600:By condition 2482: 2462: 2030:(types I–IV) 1988:Diseases of 1784:Mantoux test 1591: 1445:Food allergy 1330: 1242: 1228: 1221:Pauci-immune 1212:Small vessel 1161:Large vessel 1100: 1089: 1065: 1054: 1043: 1028: 1008: 959:. Retrieved 954: 923:. Retrieved 905: 893:. Retrieved 888: 865: 860: 852: 847: 842:(1), 14-20. 839: 834: 823:. Retrieved 819: 810: 796: 784:. Retrieved 779: 737:. Retrieved 733:the original 728: 719: 707:. Retrieved 694: 687: 675:. Retrieved 671: 661: 649:. Retrieved 644: 596: 592: 586: 561: 558:Am J Med Sci 557: 547: 533: 488: 484: 474: 463:. Retrieved 458: 449: 418:Māori people 411: 408:Epidemiology 394: 385:azathioprine 338: 330: 318: 288: 244: 238: 227:, crackles, 185: 161: 113: 109: 108: 2664:Type II RPG 2612:Amyloidosis 1435:Anaphylaxis 1431:(Hay fever) 1091:MedlinePlus 925:20 December 401:New Zealand 291:plasma cell 263:influenza A 151:, and with 90:pulmonology 48:Other names 18:Goodpasture 2765:Categories 2642:Type I RPG 2563:Membranous 1996:and other 1904:Autoimmune 1793:Autoimmune 1723:Autoimmune 1566:Autoimmune 1497:Autoimmune 1067:DiseasesDB 825:2020-11-29 739:2020-12-01 709:20 January 465:2020-12-05 441:References 373:prednisone 345:centrifuge 271:bacteremia 255:chloroform 192:antibodies 157:antibodies 94:immunology 86:Nephrology 66:Micrograph 2628:nephritic 2625:Primarily 2536:nephrotic 2533:Primarily 2483:see also 1574:Cytotoxic 1289:Ungrouped 1102:eMedicine 507:1471-2369 397:Australia 391:Prognosis 377:rituximab 361:platelets 335:Treatment 315:Diagnosis 186:The anti– 81:Specialty 74:PAS stain 2607:Diabetic 2373:(type 2) 2362:(type 2) 2273:(type 1) 2217:(type 1) 2206:(type 1) 2070:(type 2) 1990:collagen 1863:multiple 1861:Unknown/ 1663:Type III 1627:receptor 1476:Tree nut 1025:M31.010) 983:Archived 961:14 March 920:29083697 914:. NCBI. 895:14 March 786:14 March 704:29083697 677:14 March 651:14 March 621:40175400 613:11567730 578:71773779 525:30621605 491:(1): 6. 424:See also 381:anti-GBM 296:epitopes 246:HLA-DR15 225:cyanosis 143:such as 116:, is a 2738:General 2419:Laminin 1994:laminin 1870:Foreign 1772:Foreign 1763:T cells 1754:Type IV 1677:Foreign 1552:Foreign 1523:Type II 1466:Seafood 1412:Foreign 1394:allergy 1110:ped/888 1107:med/923 1061:D019867 957:. WebMD 891:. WebMD 782:. WebMD 647:. WebMD 516:6323659 309:T cells 267:cocaine 259:tobacco 2398:COL18: 2382:COL17: 2370:  2359:  2349:COL12: 2335:  2320:COL11: 2304:COL10: 2292:  2270:  2214:  2203:  2178:  2129:  2093:  2067:  2038:  2027:  1891:(I+IV) 1623:Type V 1461:Peanut 1390:Type I 1244:p-ANCA 1230:c-ANCA 1096:000142 1050:233450 1039:446.21 918:  702:  619:  611:  593:Lancet 576:  523:  513:  505:  375:, and 359:, and 349:plasma 322:biopsy 275:sepsis 211:, and 190:(GBM) 131:, and 96:  2681:Lupus 2464:TECTA 2441:Other 2282:COL9: 2260:COL8: 1730:Lupus 1481:Wheat 1398:atopy 1324:Other 1019:M31.0 617:S2CID 574:S2CID 235:Cause 68:of a 2227:COL7 2191:COL6 2166:COL5 2147:COL4 2117:COL3 2051:COL2 2015:COL1 1931:APS2 1926:APS1 1840:GVHD 1527:ADCC 1456:Milk 1380:and 1072:5363 1056:MeSH 1045:OMIM 1034:9-CM 1023:ILDS 963:2014 927:2020 916:PMID 897:2014 788:2014 711:2023 700:PMID 679:2014 653:2014 609:PMID 521:PMID 503:ISSN 399:and 147:and 118:rare 2693:IgA 2633:RPG 1540:IgM 1535:IgG 1471:Soy 1451:Egg 1403:IgE 1030:ICD 1010:ICD 601:doi 597:358 566:doi 562:158 511:PMC 493:doi 265:), 166:of 2767:: 1992:, 1625:"/ 1105:: 1094:: 1070:: 1059:: 1048:: 1037:: 1017:: 1014:10 953:. 935:^ 887:. 873:^ 818:. 778:. 748:^ 727:. 670:. 643:. 629:^ 615:. 607:. 595:. 572:. 560:. 556:. 519:. 509:. 501:. 489:20 487:. 483:. 457:. 371:, 355:, 299:GP 273:, 207:, 203:, 199:, 92:, 88:, 2705:/ 2666:/ 2644:/ 2630:, 2518:e 2511:t 2504:v 2341:) 2337:( 2229:: 2193:: 2168:: 2149:: 2119:: 2108:) 2104:( 2053:: 2017:: 1981:e 1974:t 1967:v 1765:) 1761:( 1756:/ 1670:) 1666:( 1621:" 1525:/ 1405:) 1401:( 1396:/ 1392:/ 1370:e 1363:t 1356:v 1145:e 1138:t 1131:v 1032:- 1021:( 1012:- 1002:D 965:. 929:. 899:. 828:. 790:. 742:. 713:. 681:. 655:. 623:. 603:: 580:. 568:: 541:. 527:. 495:: 468:. 305:A 301:A 31:. 20:)

Index

Goodpasture
Goodpasture (disambiguation)

Micrograph
crescentic glomerulonephritis
PAS stain
Specialty
Nephrology
pulmonology
immunology
Edit this on Wikidata
rare
autoimmune disease
basement membrane
glomerulonephritis
kidney failure
the alpha-3 subunit of type IV collagen
medications that suppress the immune system
corticosteroids
cyclophosphamide
plasmapheresis
antibodies
Ernest Goodpasture
Vanderbilt University

glomerular basement membrane
antibodies
blood in the urine
protein in the urine
unexplained swelling of limbs or face

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