ANCA in anti-GBM disease: moving beyond a one-dimensional clinical phenotype

作者:Canney Mark*; Little Mark Alan
来源:Kidney International, 2017, 92(3): 544-546.
DOI:10.1016/j.kint.2017.04.024

摘要

McAdoo et al. propose that patients with both circulating antiglomerular basement membrane antibody and antineutrophil cytoplasm antibody demonstrate a phenotype that lies between that of single-positive antiglomerular basement membrane disease and antineutrophil cytoplasm antibody-associated vasculitis. Specifically, there may be a subset of "double-positives" that have a more favorable response to therapy. These observations, along with reports of "atypical" antiglomerular basement membrane disease, challenge us to look beyond antiglomerular basement membrane disease as a 1-dimensional entity, and better characterize its clinical spectrum.

  • 出版日期2017-9