Anti-GBM Antibody Disease Follow-up

Updated: Jun 06, 2022
  • Author: Agnieszka Swiatecka-Urban, MD, FASN, FAAP; Chief Editor: Craig B Langman, MD  more...
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Follow-up

Further Outpatient Care

After discharge, a nephrologist should follow up with the patient to monitor drug therapy, potential adverse effects, and renal function.

When necessary, the nephrologist should direct renal replacement therapy.

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Further Inpatient Care

Care for critically ill patients with anti-glomerular basement membrane (GBM) antibody disease (eg, those with pulmonary hemorrhage, severe hypertension, or renal failure) in the ICU.

Acute dialysis is indicated in patients with anuria, pulmonary edema, uncontrolled hypertension, and hyperkalemia.

If renal function remains poor, prepare the patient for long-term dialysis.

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Deterrence/Prevention

The patient should avoid exposure to known initiating factors, such as influenza, cigarette smoke, [18] hydrocarbons, gasoline vapors, and hairsprays.

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