Goodpasture's syndrome: a case of delayed appearance of autoantibodies and renal disease.

Abstract:

:Goodpasture's syndrome, or anti-glomerular basement membrane (anti-GBM) disease, is a rare pulmonary-renal syndrome that results from autoantibody-mediated destruction of alveolar and glomerular basement membranes. It is defined by the triad of pulmonary hemorrhage (hemoptysis), glomerulonephritis (hematuria), and circulating anti-GBM antibodies. Although kidney disease can occur with or without lung involvement, isolated alveolar hemorrhage as an incipient manifestation of the syndrome is rare. We report the case of a patient with anti-GBM disease who initially presented with seronegative hemoptysis and normal urine. It was not until relapse of his condition that we found acute glomerulonephritis and circulating antibodies. In this report, we briefly review the pathogenesis and clinical manifestations of anti-GBM disease and discuss the relevance of isolated alveolar hemorrhage.

journal_name

Mil Med

journal_title

Military medicine

authors

Lettieri C,Pina J

keywords:

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

827-30

issue

9

eissn

0026-4075

issn

1930-613X

journal_volume

166

pub_type

杂志文章
  • A Comparison of Veterans with Post-traumatic Stress Disorder, with Mild Traumatic Brain Injury and with Both Disorders: Understanding Multimorbidity.

    abstract:Introduction:Mild traumatic brain injury (mTBI) and post-traumatic stress disorder (PTSD) are common military service-related conditions diagnosed both singly and together in veterans returning from recent military conflicts overseas. The impact of these disorders in real-world Veterans Health Administration practice h...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx050

    authors: Kulas JF,Rosenheck RA

    更新日期:2018-03-01 00:00:00

  • Efficacy of Hemostatic Gauzes in a Swine Model of Prolonged Field Care with Limb Movement.

    abstract:INTRODUCTION:Prolonged field care for junctional wounds is challenging and involves limb movement to facilitate transport. No studies to date have explored the efficacy of gauze products to limit rebleeding in these scenarios. MATERIALS AND METHODS:We randomly assigned 48 swine to QuikClot Combat Gauze, ChitoGauze, Nu...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa403

    authors: Landers GD,Townsend C,Gaspary M,Kachur R,Thorne B,Stuart S,Henao J,Zarow GJ,Natarajan R,Boboc M

    更新日期:2021-01-25 00:00:00

  • A Prospective Cohort Study of Vitamin D Supplementation in AD Soldiers: Preliminary Findings.

    abstract:PURPOSE:To explore response to vitamin D supplementation in active duty (AD) warfighters and translate findings into evidence-based health policy. BACKGROUND:Soldiers are at risk for musculoskeletal injuries and metabolic dysfunction that impact physical performance and military readiness; the link with low vitamin D ...

    journal_title:Military medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/milmed/usy393

    authors: McCarthy MS,Elshaw EB,Szekely BM,Raju D

    更新日期:2019-03-01 00:00:00

  • Health care for the children of Army service members: cost of alternatives.

    abstract::The United States Army is committed to providing quality health care for active-duty service members, their dependents, and retired service members. Historically, the Army has never had enough active-duty physicians to provide care for all its beneficiaries. Alternatives utilizing civilian health care providers have b...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Callahan CW Jr,Pierce JR

    更新日期:1991-04-01 00:00:00

  • Women as prisoners of war.

    abstract::American women are increasingly becoming involved in combat-related roles. Inevitably, our country will have several killed and taken prisoner. No National Academy of Science/National Research Council or VA study has ever been undertaken to examine the chronic sequelae of the experiences undergone by these captured wo...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Skelton WP 3rd,Skelton NK

    更新日期:1995-11-01 00:00:00

  • Occupational back disability in U.S. Army personnel.

    abstract::Musculoskeletal disorders represent a prevalent source of outpatient visits, lost work time, hospitalization, and disability in the military. Recent research has identified patterns among military occupations, gender, and musculoskeletal disability. Although back disorders accounted for a high percentage of all cases,...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Berkowitz SM,Feuerstein M,Lopez MS,Peck CA Jr

    更新日期:1999-06-01 00:00:00

  • An Examination of Chronic Pain Indices and the Updated Posttraumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental-Disorders-Fifth Edition.

    abstract:INTRODUCTION:Chronic pain and post-traumatic stress disorder (PTSD) comorbidity is prevalent among veterans and is associated with increased levels of pain severity and pain-related disability. An improved understanding of the relationship between these co-occurring disorders, in addition to effective integrated treatm...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa529

    authors: Lehinger E,Reed DE,Nabity P,Brackins N,Villarreal R,McGeary C,Blount T,Cobos B,Jaramillo C,Eapen BC,Pugh MJ,Potter J,Peterson A,Young-McCaughan S,Houle T,McGeary DD

    更新日期:2020-12-10 00:00:00

  • When Exception to Policy Is Exceptional Policy: How Booking Physical Therapy Appointments Too Far in the Future May Adversely Impact Access to Care, Business Optimization, and Readiness.

    abstract:INTRODUCTION:Physical therapy (PT) is a high-volume service that treats musculoskeletal injury and improves return-to-duty rates. Our experience suggests that no-show (NS) and patient cancellation (PC) rates increase the further appointment that is booked in the future, impede access to care, and increase the healthcar...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz287

    authors: Baker SE,Silvernail J,Scoville C,Kushner S,Mabry L,Konitzer L,Easley S,Iveson B,Sims C,Stoeker S,Gudorf G

    更新日期:2020-01-07 00:00:00

  • New Training System Based on the Discovery of Subperiosteal Transmission of Pressures Between Joint Capsules.

    abstract:BACKGROUND:A new training and rehabilitation methodology called Sanomechanics® is presented based on a recent discovery of the anatomical system called Floating Skeleton System (FSS) responsible for redistributing contact pressures in the joint capsules and thus minimizing the loads on joint cartilages. MATERIALS AND ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa476

    authors: Pitkin M

    更新日期:2021-01-25 00:00:00

  • Officers' attitudes toward combat stress reaction: responsibility, treatment, return to unit, and personal distance.

    abstract::This study examines the attitudes of 176 Israel Defense Forces officers toward combat stress reaction (CSR) in four areas: (1) the degree of personal responsibility the officer accepts for the treatment of the CSR casualty; (2) the type of treatment the officer views as most effective for CSR; (3) the officer's willin...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Inbar D,Solomon Z,Aviram U,Spiro S,Kotler M

    更新日期:1989-09-01 00:00:00

  • Changes in dental classification during the first 4 years of military service.

    abstract:OBJECTIVE:The objective of this study was to examine the way in which the oral health of recruits changed during the 4 years immediately after entry on active duty. METHODS:In 1998, 1,331 dental records of recruits in the 1994 Tri-Service Comprehensive Oral Health Survey were located, and treatment data were analyzed....

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.1.38

    authors: Moss DL,York A,Martin G

    更新日期:2004-01-01 00:00:00

  • Preparing for the JCAHO survey.

    abstract::Ready or not, here they come! The triennial visit by surveyors from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) does not have to be an occurrence that strikes fear into the heart of the chief nurse and most of the nursing staff. If properly prepared, a nursing staff can actually look forw...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Bombard CF

    更新日期:1995-07-01 00:00:00

  • A survey of Army Medical Department personnel beliefs about domestic violence.

    abstract::Army health care personnel play a key role in the Army's Family Advocacy Program, yet little is known about their beliefs toward domestic violence. This study surveyed the beliefs of selected Army Medical Department personnel concerning the extent, nature, causes, and management of spouse abuse. The study suggests tha...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Hamlin ER 2nd,Donnewwerth D,Georgoulakis JM

    更新日期:1991-09-01 00:00:00

  • Traits associated with personality disorders and adjustment to military life: predictive validity of self and peer reports.

    abstract::This study demonstrated that traits and features associated with several types of personality disorders are related to work performance and the ability to conform to requirements of military life. The Schedule for Nonadaptive and Adaptive Personality and a peer nomination procedure were used to assess traits associate...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.3.207

    authors: Fiedler ER,Oltmanns TF,Turkheimer E

    更新日期:2004-03-01 00:00:00

  • Occupational Therapy Practice Patterns for Military Service Members With Upper Limb Amputation.

    abstract:INTRODUCTION:Military Service Members (SMs) with upper limb (UL) amputation have unrestricted access to occupational therapy (OT) services. Identifying OT interventions used based on clinical rationale and patient needs can provide insight toward developing best practice guidelines. The purpose of this retrospective ob...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz341

    authors: Cancio JM,Orr A,Eskridge S,Shannon K,Mazzone B,Farrokhi S

    更新日期:2020-03-02 00:00:00

  • The Impact of Aeroallergens on Military Readiness: A Case Report.

    abstract::Seasonal aeroallergens commonly cause allergic conjunctivitis, rhinorrhea, sinusitis, and cough in sensitized individuals. These clinical symptoms are the result of IgE-mediated type I hypersensitivity reactions, which trigger the degranulaton of mast cells and basophils. In contrast, aeroallergens are not common prec...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz106

    authors: Fajardo KA,Wohltmann WE

    更新日期:2019-12-01 00:00:00

  • Substance use and mental health trends among U.S. military active duty personnel: key findings from the 2008 DoD Health Behavior Survey.

    abstract:OBJECTIVE:Examine substance use and mental health issues among U.S. military personnel. METHODS:Data were from the 2008 (and before) population-based Department of Defense Health Related Behavior Surveys. The sample size for the 2008 survey was 28,546 (70.6% response rate). RESULTS:Analyses examined substance use, st...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-09-00132

    authors: Bray RM,Pemberton MR,Lane ME,Hourani LL,Mattiko MJ,Babeu LA

    更新日期:2010-06-01 00:00:00

  • Improving the adoption of evidence-based practice among nurses in Army outpatient medical treatment facilities.

    abstract::This quality improvement project implemented and evaluated an evidence-based practice (EBP) program at two Army outpatient health care facilities. The EBP program consisted of five implementation strategies that aimed to inculcate EBP into organizational culture as well as nursing practice and culture. A conceptual mo...

    journal_title:Military medicine

    pub_type: 临床试验,杂志文章

    doi:10.7205/MILMED-D-13-00191

    authors: Yackel EE,Short NM,Lewis PC,Breckenridge-Sproat ST,Turner BS

    更新日期:2013-09-01 00:00:00

  • A survey of preprocedural antiseptic mouth rinse use in Army dental clinics.

    abstract:OBJECTIVE:The objective of this project was to evaluate the use of preprocedural mouth rinses in Army dental clinics. MATERIALS AND METHODS:Three hundred six-question surveys were distributed to 10 Army dental organizations throughout the United States and Germany during the period from March 2001 to March 2002. Two h...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.169.8.600

    authors: Hennessy B,Joyce A

    更新日期:2004-08-01 00:00:00

  • An English admiral and an American aviator: advanced trauma life support and two historical military casualties.

    abstract::This article considers two historical military casualties in the context of present day Advanced Trauma Life Support (ATLS) teaching. The death of Admiral Lord Nelson, Royal Navy, at the Battle of Trafalgar in 1805 has been well documented while that of Lieutenant Luke, an American aviator, U.S. Army Air Service, in F...

    journal_title:Military medicine

    pub_type: 传,历史文章,杂志文章

    doi:10.7205/milmed-d-09-00261

    authors: Bridgewater FH

    更新日期:2010-11-01 00:00:00

  • Characterization of Protection Mechanisms to Blast Overpressure for Personal Hearing Protection Devices - Biomechanical Measurement and Computational Modeling.

    abstract::Hearing damage induced by blast exposure is a common injury in military personnel involved in most operation activities. Personal hearing protection devices such as earplugs come as a standard issue for Service members; however, it is not clear how to accurately evaluate the protection mechanisms of different hearing ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy299

    authors: Gan RZ,Leckness K,Smith K,Ji XD

    更新日期:2019-03-01 00:00:00

  • Enteropathogens associated with diarrhea among military personnel during Operation Bright Star 96, in Alexandria, Egypt.

    abstract::This study investigated the microbial causes of diarrheal disease among U.S. troops deployed near Alexandria, Egypt, during October 1995. Bacterial causes associated with 19 cases of diarrhea included: enterotoxigenic Escherichia coli (ETEC), 42% (21% heat-stable, 11% heat-labile, and 11% heat-stable/ heat-labile prod...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Oyofo BA,Peruski LF,Ismail TF,el-Etr SH,Churilla AM,Wasfy MO,Petruccelli BP,Gabriel ME

    更新日期:1997-06-01 00:00:00

  • Conservative Management of an Intraoperative Chyle Leak: A Case Report and Literature Review.

    abstract::Chyle leaks are a rare but potentially fatal complication of head and neck surgery carrying an incidence as high as 8.3%. The development of a chyle leak carries significant morbidity ranging from delayed wound healing to oropharyngeal fistulas. Presented here is a case of a chyle leak that developed following a left ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00240

    authors: Meyer CD,McLeod IK,Gallagher DJ

    更新日期:2016-09-01 00:00:00

  • Reconstructive surgery during Operations Just Cause and Desert Storm.

    abstract::Operations Just Cause and Desert Storm were of relatively brief duration; however, severe wounds were produced that required complex reconstructive procedures. This paper describes the type of wounds managed in theater and subsequently at three U.S. military medical centers. Specific reconstructive techniques included...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Thurman RT,Walker GM,Reid 4th DS

    更新日期:1995-02-01 00:00:00

  • Ileal duplication cyst: repeated spontaneous decompression delays diagnosis.

    abstract::A duplication cyst of the ileum was initially observed in a fetus at 26 weeks gestation on prenatal ultrasonography. Repeated spontaneous resolution of the cyst by decompression into the adjacent bowel lumen delayed diagnosis and management until the child was 9 months of age. The child experienced two episodes of hem...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Brown DM,Schlesinger AE,Komppa GH

    更新日期:1989-11-01 00:00:00

  • Suicide prevention program in the Army of Serbia and Montenegro.

    abstract::Suicide, as one of the greatest problems of maladjustment to the military environment, has been a subject of investigation in the Army of Serbia and Montenegro (former Yugoslav Army) for more than six decades. The Suicide Prevention Program was implemented in December 2003. The aim of the study was to follow-up the ap...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.172.5.551

    authors: Dedic G,Panic M

    更新日期:2007-05-01 00:00:00

  • Physiological and cognitive performance of soldiers conducting routine patrol and reconnaissance operations in the tropics.

    abstract::The physiological and cognitive performance of acclimatized soldiers undertaking routine patrol and reconnaissance activities in the tropics was investigated. Data were obtained during a patrol and a reconnaissance exercise followed by a short assault. Ambient conditions were characterized by temperatures of 30 to 33 ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Amos D,Hansen R,Lau WM,Michalski JT

    更新日期:2000-12-01 00:00:00

  • Modeling intensive care unit census.

    abstract::A mathematical model revealing the relationships between bed capacity, average patient admission rate, average patient length of stay, utilization rate, and overfill rate in intensive care units is developed and explained. Mathematical model predictions are compared to predictions of two kinds of discrete event intens...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Lamiell JM

    更新日期:1995-05-01 00:00:00

  • When to use mesh in inguinal hernia repair.

    abstract::With people living longer today, averaging 73 years old, the type of patients with inguinal hernias are different than in the past. At the present time, to avoid the high incidence of recurrence due to the aged and weakened tissue component of the groin area, we reinforce the posterior wall of the inguinal canal with ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Chang EG

    更新日期:1991-07-01 00:00:00

  • Suspected child and spouse maltreatment referral sources: who reports child and spouse maltreatment to the Air Force Family Advocacy Program?

    abstract::The present study describes the sources of Air Force (AF) Family Advocacy Program referrals (N = 42,389) for child and spouse maltreatment between 2000 and 2004. Sources of referrals were stable over time, with military sources accounting for the majority of both child and spouse referrals. Most (85%) of spouse maltre...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.173.12.1203

    authors: Linkh DJ,Besetsny LK,Collins PS,Thomsen CJ,Rabenhorst MM,Rosenbaum A,Milner JS

    更新日期:2008-12-01 00:00:00