Concurrent antiglomerular basement membrane antibody and immune complex mediated glomerulonephritis.

Abstract:

:A teenage male, with Goodpasture's syndrome and serum antiglomerular basement membrane (anti-GBM) antibodies, had a focal proliferative glomerulonephritis with crescents. Immunofluorescence microscopy of his glomeruli using anti-IgG antibodies demonstrated both intense linear GBM staining, and granular subepithelial staining. Electron microscopy revealed numerous subepithelial electron-dense deposits. Identical IgG subclass restriction (dominance of IgG1 and IgG4) of both types of glomerular deposits in this patient supports, but does not prove, a postulate that the linear staining was due to anti-GBM antibodies bound to intact GBM, and that the granular staining was due to anti-GBM antibodies complexed with freed GBM antigens.

journal_name

Am J Clin Pathol

authors

Jennette JC,Lamanna RW,Burnette JP,Wilkman AS,Iskander SS

doi

10.1093/ajcp/78.3.381

subject

Has Abstract

pub_date

1982-09-01 00:00:00

pages

381-6

issue

3

eissn

0002-9173

issn

1943-7722

journal_volume

78

pub_type

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