Goodpasture's syndrome: haemodialysis, pacing and extrapulmonary oxygenation.

Abstract

Two cases of Goodpasture's syndrome are reported. Intensive therapy, extracorporeal oxygenation by haemodialysis, assisted respiration and short-term pacing were applied together with immunosuppressive treatment and repeated exchange transfusions. By this treatment combined with bilateral nephrectomy a few weeks' remission was attained in a young female patient. An intensive therapy of this kind is recommended in rapid progressive glomerulonephritis of other types as well.