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Anti–glomerular basement membrane glomerulonephritis after extracorporeal shock wave lithotripsy

1999; Elsevier BV; Volume: 33; Issue: 1 Linguagem: Inglês

10.1016/s0272-6386(99)70268-4

1523-6838

Anagyros Xenocostas, Serge Jothy, Bernard Collins, Rolf Loertscher, Mortimer Levy,

Poisoning and overdose treatments

Extracorporeal shock wave lithotripsy (ESWL) is a common noninvasive procedure for removal of upper urinary tract stones. We present a case of a man who developed anti-glomerular basement membrane (anti-GBM) disease after ESWL and review the two other cases described in the medical literature. In all cases, the affected individuals expressed the HLA DR2/HLA DR15 major histocompatibility antigen and developed a rapidly progressive anti-GBM-induced glomerulonephritis 3 to 7 months after ESWL. Anti-GBM disease may be a rare complication of ESWL in susceptible individuals and should be considered in patients who develop acute renal failure after lithotripsy.