Goodpasture syndrome

About Goodpasture syndrome

An autoimmune disease that attacks the kidneys and lungs and can result in kidney failure. The body normally makes antibodies to fight infection. In this disorder the antibodies are made against the body, specifically the anti-glomerular basement membrane. This attack of the immune system can cause bleeding in the lungs and kidney damage. Viral infections or exposure to certain toxins can trigger this immune response. Men are eight times more likely to acquire this disease.

Symptoms

Dry cough, coughing of blood, breathing problems, decreased urination, bloody urine, painful urination, leg swelling, high blood pressure, vomiting, weakness, fatigue.

Tests & Diagnostics

A history and physical exam will be done. Blood tests to measure kidney and lung function will be done. A chest x-ray or CT scan will be obtained as well. Biopsies of the lung and kidney may be performed to look at the tissue under the microscope.

Common tests: X-ray.

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

The harmful antibodies need to be removed. Thus usually is done with plasmapheresis, a technology that replaces the blood plasma (and proteins in it) with plasma from another person. Steroids and immune suppressing drugs are used to reduce inflammation. High blood pressure will be treated with medications as well. A kidney transplant is sometimes needed for severe kidney damage.

Medical specialties

Pediatrics · Pulmonology · Nephrology · Pediatric Pulmonology · Pediatric Nephrology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Goodpasture syndrome.