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10.14740/jocmr2379w http://scihub22266oqcxt.onion/10.14740/jocmr2379w C4676347!4676347!26668684     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Clin+Med+Res 2016 ; 8 (1): 52-5 Nephropedia Template TP {{tp|p=26668684|t=2016. Goodpasture?s Disease: An Uncommon Disease With an Atypical Clinical Course |pdf=|usr=}}{{26668684}} gab.com Text Goodpasture s Disease: An Uncommon Disease With an Atypical Clinical Course JO: J Clin Med Res http://www.kidney.de/pget.php?&tw=1&pmid=26668684 #FOAvip Goodpasture?s disease is an uncommon composite of features including renal failure with pulmonary hemorrhage secondary to an autoimmune response that specifically targets these organ systems. We present a case of particular interest in regards to atypical presentation, and the uncommon treatment that the patient underwent. A 65-year-old Afghani female arrived with complaints of nausea, vomiting, loss of appetite, malaise, decreased urine output, exertional dyspnea, and cough. The patient presented initially with renal failure and unexpectedly developed respiratory failure after hemodialysis. Initial CT of thorax revealed diffuse bilateral pulmonary edema. Subsequently, the patient received a bronchoscopy demonstrating alveolar hemorrhage, which highlights a clinician?s need to maintain a differential and reassess patients. Anti-GBM antibody in the serum was detected and the renal biopsy revealed evidence of the antibody on immunofluorescence. In regards to management, the patient could only be treated with plasmapheresis as she had contraindication to initiation of immunosuppression, after which she showed significant clinical improvement. We would like to highlight the benefit of plasmapheresis without concomitant immunosuppression and recommend such an approach to be considered in similar clinical scenarios, where contraindication for immunosuppressant therapy exists. Twit Text FOAVip Goodpasture s Disease: An Uncommon Disease With an Atypical Clinical Course ????J Clin Med Res http://www.kidney.de/pget.php?&tw=1&pmid=26668684 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26668684 #FOAvip English Wikipedia <ref>{{Cite pmid|26668684}}</ref> Goodpasture?s Disease: An Uncommon Disease With an Atypical Clinical Course #MMPMID26668684 Shiferaw B; Miro V; Smith C; Akella J; Chua W; Kim Z J Clin Med Res 2016[Jan]; 8 (1): 52-5 PMID26668684show ga Goodpasture?s disease is an uncommon composite of features including renal failure with pulmonary hemorrhage secondary to an autoimmune response that specifically targets these organ systems. We present a case of particular interest in regards to atypical presentation, and the uncommon treatment that the patient underwent. A 65-year-old Afghani female arrived with complaints of nausea, vomiting, loss of appetite, malaise, decreased urine output, exertional dyspnea, and cough. The patient presented initially with renal failure and unexpectedly developed respiratory failure after hemodialysis. Initial CT of thorax revealed diffuse bilateral pulmonary edema. Subsequently, the patient received a bronchoscopy demonstrating alveolar hemorrhage, which highlights a clinician?s need to maintain a differential and reassess patients. Anti-GBM antibody in the serum was detected and the renal biopsy revealed evidence of the antibody on immunofluorescence. In regards to management, the patient could only be treated with plasmapheresis as she had contraindication to initiation of immunosuppression, after which she showed significant clinical improvement. We would like to highlight the benefit of plasmapheresis without concomitant immunosuppression and recommend such an approach to be considered in similar clinical scenarios, where contraindication for immunosuppressant therapy exists. äGoodpasture?s Disease: An Uncommon Disease With an Atypical Clinical C(epmc).pdf DeepDyve Pubget Overpricing