Table 1.
Reports observing the chronologic relationship between membranous nephropathy (MN) and anti-glomerular basement membrane (GBM) disease
Reference | Age/gender | Clinical presentation | Therapy | Outcome |
---|---|---|---|---|
Group 1 | ||||
Klassen et al. [4] | 49/M | Edema, chest pain, anuria | Steroids | Died of seizure |
Moorthy et al., case 1 [5] | 53/M | Edema | Steroids, azathioprine | Hemodialysis |
Richman et al., case 1 [6] | 65/M | Edema, renal failure | Steroids, CP, PP | Died of myocardial infarction |
Kurki et al. [7] | 54/M | Cough, arthralgia, pleurisy, nephritic | Steroids, PP | ESRD, transplant |
Thitiarchakul et al. [8] | 57/? | Edema, vomiting, shortness of breath, hemoptysis | Steroids, CP, PP | Hemodialysis |
Nayak and Satish [9] | 54/F | Edema, oliguria, vomiting | Steroids, CP, PP | Hemodialysis |
Group 2 | ||||
Agodoa et al. [10] | 22/F | Cough, weakness, syncope, hematuria | None | Recovery |
Savige et al., case 5 [11] | 20/M | Hematuria | “Cytotoxic drugs,” PP | Recovery |
Savige et al., case 6 [11] | 18/F | Hematuria | PP, steroids, CP | Chronic kidney disease |
Elder et al. [12] | 20/M | Hemoptysis, dyspnea, fever, hematuria | Steroids, CP | Recovery, proteinuria |
Keilstein et al. [13] | 17/M | Hemoptysis, hematuria | Antibiotics | Recovery |
Hecht et al. [14] | 9/F | Abdominal pain, emesis, malaise, hematuria | Steroids, CP, PP, cyclosporine | Recovery |
Group 3 | ||||
Moorthy et al., case 2 [5] | 44/M | Ankle edema | Steroids | Dialysis |
Pasternack et al. [15] | 19/F | Hemoptysis, hematuria | Steroids, azathioprine | Nephrectomy, dialysis |
Sharon et al. [16] | 25/M | Hemoptysis, hematuria, edema | Steroids, CP, PP | Died (pulmonary hemorrhage) |
Richman et al., case 2 [6] | 65/M | Hemoptysis | Steroids, azathioprine | Died (pulmonary hemorrhage) |
Jennette et al. [17] | 17/M | Sore throat, fever, minimal hemoptysis | Steroids, CP | Recovery |
Tomaszewski et al. [18] | 22/F | Hemoptysis, hematuria | NA | NA |
Pettersson et al. [19] | 20/M | Sore throat, fever, lumbar pain, hematuria | Steroids, PP | Recovery |
Savige et al., case 1 [11] | 16/F | Hemoptysis, hematuria, edema | Steroids, CP, PP | Recovery |
Savige et al., case 2 [11] | 47/M | History of hematuria, anuria | NA | Dialysis, transplant |
Savige et al., case 3 [11] | 21/M | Hematuria, hemoptysis | Steroids, CP, PP | Recovery |
Savige et al., case 4 [11] | 20/F | Hematuria, anemia | Steroids, CP, PP | Recovery |
Hayano et al. [20] | 60/M | Prolonged anorexia, general malaise | Steroids, PP | Dialysis |
Takeuchi et al. [21] | 70/M | Acute renal failure | Steroids, CP, PP | Died (unclear) |
Meisels et al. [22] | 50/M | Edema for 4 months, then hematuria | Steroids, CP, PP | Recovery |
Sano et al. [23] | 54/F | Hematuria, proteinuria, acute renal failure | Steroids, PP | Dialysis |
Nasr et al. [24] | 53/M | Cough, sore throat, fatigue, dyspnea, hematuria | Steroids, CP, PP | Dialysis |
Singh et al. [25] | 48/F | Anuria | Steroids, CP, PP | Dialysis |
Hoshino et al. [26] | 71/F | Fatigue, nausea, pitting edema, pulmonary edema | Steroids | Renal insufficiency |
Troxell et al. [27] | 49/M | Fatigue, hematuria, flank pain | Steroids, CP, PP | Dialysis |
Cui et al. [28] | 20/M | Hematuria, generalized edema | NA | Dialysis |
Cui et al. [28] | 40/M | Hematuria | Steroids, CP, PP | Dialysis |
Cui et al. [28] | 40/F | Upper respiratory tract infection, hematuria | Steroids, CP, PP | Renal insufficiency |
Patel et al. [29] | 59/M | Nausea, vomiting, renal insufficiency | Steroids, CP, PP | Dialysis |
Basford et al. [30] | 59/M | Fatigue, hematuria, acute renal failure | Steroids, CP, PP | Recovery |
Present case | 76/M | Fever, persistent cough, general fatigue, leg edema | Steroids, PP, entecavir | Renal insufficiency |
Group 1 MN followed by anti-GBM disease, Group 2 primary anti-GBM disease followed by granular subepithelial deposits, Group 3 simultaneous detection of both lesions, M male, F female, CP cyclophosphamide, PP plasmapheresis, NA not available. Adapted from Basford et al. [30]