IRMIN STERNLIEB, M.D.; BOYCE BENNETT, M.D.; I. HERBERT SCHEINBERG, M.D.
Fatal pulmonary hemorrhages and rapidly progressive glomerulonephritis occurred in three patients with Wilson's disease (hepatolenticular degeneration) who had been treated with penicillamine for 2 to 3½ years. Light microscopic studies of the kidneys showed severe glomerulonephritis with crescent formation, and the lungs showed intraalveolar hemorrhages. Although the clinical and pathologic abnormalities were those of Goodpasture's syndrome, immunofluorescence microscopic studies in the one case tested showed an interrupted, rather than linear, fluorescence pattern.
STERNLIEB I, BENNETT B, SCHEINBERG IH. D-Penicillamine Induced Goodpasture's Syndrome in Wilson's Disease. Ann Intern Med. ;82:673–676. doi: 10.7326/0003-4819-82-5-673
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Published: Ann Intern Med. 1975;82(5):673-676.
Autoimmune Kidney Disease, Encephalopathy, Gastroenterology/Hepatology, Interstitial Lung Disease, Liver Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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