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Goodpasture's Syndrome Complicating Henoch-Schönlein Purpura
L Carbone1, M Y Khan, J Rosenfeld
1Department of Medicine, Division of Rheumatology and Connective Tissue Research, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, NJ.
Abstract:
Pulmonary hemorrhage in a patient with Henoch-Schönlein purpura was shown at autopsy to be caused most likely by Goodpasture's syndrome. The diagnosis was missed in part because of repeated negative assays for glomerular basement membrane antibodies. Linear fluorescence for immunoglobulin G was found in lung and glomeruli at postmortem. Development of Goodpasture's syndrome might be a result of release of glomerular basement membrane antigen by vasculitis.
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