Pulmorenales Syndrom bei einer 79-jährigen Patientin – Fall 10/2010
F Artunc, C Dorn, F Gehlen, M Büttner, K Amann, P Weyrich, N Heyne, S Wolf · DMW - Deutsche Medizinische Wochenschrift · 2010 · Heft 40 · S. 1982
Bibliografische Angaben
Zusammenfassung
Abstract HISTORY AND ADMISSION FINDINGS: A 79-year-old female patient was referred with acute renal failure requiring haemodialysis and haemoptysis. INVESTIGATIONS: Kidney biopsy showed extracapillary proliferative glomerulonephritis with crescents in 7 from 15 glomeruli and sclerosis in the remaining. A computed tomography scan of the chest showed evidence of alveolar haemorrhage. Serologic testing revealed autoantibodies against the glomerular basement membrane (anti-GBM antibodies) and myeloperoxidase antineutrophil cytoplasmic antibodies (MPO-ANCA). DIAGNOSIS, TREATMENT AND COURSE: The patient was diagnosed…