• A middle-aged man presented with recurrent alveolar hemorrhage, rheumatoid arthritis, and crescentic immune complex–mediated glomerulonephritis. Nail bed hemorrhages and necrotizing vasculitis were documented concomitantly with the clinical picture of Goodpasture's syndrome. Perusal of the literature disclosed two additional similar cases. It is suggested that Goodpasture's syndrome may evolve in the framework of rheumatoid vasculitis. While immunosuppressive therapy resulted in short-term remission, two of the three patients involved developed late-stage renal failure.
(Arch Intern Med 1989;149:406-408)
Naschitz JE, Yeshurun D, Scharf Y, Sajrawi I, Lazarov NB, Boss JH. Recurrent Massive Alveolar Hemorrhage, Crescentic Glomerulonephritis, and Necrotizing Vasculitis in a Patient With Rheumatoid Arthritis. Arch Intern Med. 1989;149(2):406–408. doi:10.1001/archinte.1989.00390020110023
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: