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. 2021 Nov 1;14:393–398. doi: 10.2147/IJNRD.S333894

Table 1.

Cases of Anti-Glomerular Basement Membrane Disease Post SARS-CoV2 Infection

Case 1 Case 2 Case 3 Case 4
Age/Gender 36/F 18/M 52/M 32/F
Comorbidity Nil Nil Hypertensive Nil
Smoking status Nil Nil Smoker Nil
Clinical presentation Lethargy, hematuria, vomiting Headache, accelerated hypertension Volume overload, vomiting Volume overload, fever, hematuria, oliguria
Preceding clinical SARS-CoV2 infection Present – mild Present – moderate Present – mild Present – moderate
Prodrome duration 4 weeks 8 weeks 6 weeks 4 weeks
Alveolar hemorrhage Absent Absent Absent Absent
Hemoglobin 7.8 g/dl 11g/dl 8g/dl 8.2g/dl
Renal syndrome AKI AKI-RRT AKI-RRT AKI-RRT
Platelets 2,30,000/mm3 1,25,000/mm3 1,50,000/mm3 1,12,000/mm3
Serum creatine 3.4mg/dl 7mg/dl 12mg/dl 16mg/dl
C-reactive protein 0.7 mg/L 15 mg/L 4 mg/L 65 mg/L
Anti-GBM titre (IU/mL; normal <6.9) 287 567 323 386
ANCA Negative Positive (p-ANCA) Negative Negative
Renal Biopsy Crescentric glomerular Nephritis, no interstitial fibrosis and tubular atrophy, linear IgG staining Cellular and fibrocellular crescents, linear IgG staining, no interstitial fibrosis and tubular atrophy Circumferential fibrocellular and cellular crescents, linear IgG staining, IFTA 40% Cellular and fibrocellular crescents, linear IgG staining, no interstitial fibrosis and tubular atrophy
SARS-CoV2
1. RTPCR 1. Negative 1. Negative 1. Negative 1. Negative
2. IgG antibody 2. Negative 2. Negative 2. Positive 2. Negative
3. IgM antibody 3. Positive 3 .Positive 3. Positive 3. Positive
Treatment Plasma exchange, steroids Plasma exchange, steroids, cyclophosphamide Plasma exchange, steroids, cyclophosphamide Plasma exchange, steroids, cyclophosphamide
Outcome Outpatient follow-up Outpatient follow-up On weekly twice RRT Inpatient RRT
Last creatinine 3.8mg/dl 5mg/dl 5.8mg/dl 6.8mg/dl