Goodpasture Syndrome with Negative Serum Test for Anti-GBM Antibodies: A Rare Case Report 一個罕見的病例：抗基底膜抗體 ...腎臟保健醫病共享決策(SDM)血液透析腹膜透析腎臟移植護腎飲食腎臟藥物指導醫學新知腎病相關醫療知識影音衛教腎友分享文章護理期刊線上測驗自我檢測 腎病相關醫療知識首頁衛教園地腎病相關醫療知識 5.一個罕見的病例：抗基底膜抗體陰性Goodpasture症候群2018.08.13GoodpastureSyndromewithNegativeSerumTestforAnti-GBMAntibodies:ARareCaseReport一個罕見的病例：抗基底膜抗體陰性Goodpasture症候群作者:王棋新(Chi-ShineWang)；田雅之(Ya-ChihTien)；陳美玲(Mei-LingChen)；邱炳芳(Ping-FangChiu)摘要Goodpasturesyndromeisarapidlyprogressiveandfataldisease.Serumanti-glomerularbasementmembrane(GBM)antibodyisusedfordiagnosis，butthetestistime-consumingandafalse-negativeispossible.MosthospitalsinTaiwan，thetestwouldbeperformedwhenthesamplescollecteduptoacertainamount.Thus，renalbiopsyisthegoldstandardforadefinitediagnosis.Thecasepresentedherewasnegativeforserumanti-GBMantibody，butimmunofluorescencemicroscopyoftissuefromarenalbiopsyindicatedlineardepositionofIgGontheglomeruli.Patientswhopresentwithsuspectedpulmonaryrenalsyndromeshouldbeconsideredforrenalbiopsy，andpulsecorticosteroidtherapywithplasmapheresisshouldbepromptlyinitiated.出處:內科學誌；28卷2期(2017/04/01)，P108-111返回上頁©2009ChanghuaChristianHospitalAllRightsReserved.隱私權宣告本站提供之資訊僅供參考，不能取代醫師及醫療專業人員之當面評估或治療網站維護:慢性腎臟病衛教中心網站負責人:黃智英護理師瀏覽人次3524821線上人數9人最後更新時間：2020.09.14