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Pediatric double positive <scp>anti‐glomerular</scp> basement membrane antibody and <scp>anti‐neutrophil</scp> cytoplasmic antibody glomerulonephritis—A case report with review of literature

Louise Helander, Melisha Hanna, Kyle Annen

2021Journal of Clinical Apheresis14 citationsDOI

Abstract

Anti-glomerular basement membrane (GBM) disease is a rarely described entity in the pediatric population, especially in those less than 3 years old. Even rarer, is double seropositive disease, consisting of anti-GBM antibody plus anti-neutrophil cytoplasmic antibodies. Both single and double antibody positive diseases are characterized by rapidly progressive glomerulonephritis, often without pulmonary involvement in the pediatric population. We report the case of a 2-year-old child with double seropositive anti-GBM disease, the youngest in the current literature, along with the role of therapeutic plasma exchange and rituximab in disease treatment.

Topics & Concepts

MedicineAntibodyGlomerulonephritisImmunologyGlomerular basement membraneVirologyKidneyInternal medicineVasculitis and related conditionsRenal Diseases and GlomerulopathiesCoagulation, Bradykinin, Polyphosphates, and Angioedema
Pediatric double positive <scp>anti‐glomerular</scp> basement membrane antibody and <scp>anti‐neutrophil</scp> cytoplasmic antibody glomerulonephritis—A case report with review of literature | Litcius