BMJ Case Reports 2016; doi:10.1136/bcr-2016-217990

Atypical presentation of anti-GBM nephritis in a 90-year-old patient

  1. Amjad Zaman Khan1
  1. 1Department of Medicine, Sligo University Hospital, Sligo, Co. Sligo, Ireland
  2. 2Department of Nephrology, Sligo University Hospital, Sligo, Co. Sligo, Ireland
  1. Correspondence to Dr Julie Omolola Okiro, Julieokiro{at}
  • Accepted 11 November 2016
  • Published 29 November 2016


A 90-year-old woman who had bloody diarrhoea, nausea, weakness and reduced urine output was found to have acute kidney injury. Her inflammatory markers were raised and her chest X-ray suggested an inflammatory process. She was initially suspected to have acute kidney injury secondary to dehydration and sepsis but when her autoimmune screen returned positive for antiglomerular basement membrane antibodies our diagnosis and management strategy was reconsidered. This is a case report of Goodpasture disease presenting in an elderly patient.


  • Contributors JOO was involved in case presentation, background, differential diagnosis, treatment and discussion. CAE contributed to investigations, outcome, learning points and discussion. AZK was the admitting consultant, and contributed to background and discussion.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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