ABSTRACT

During the influenza pandemic of 1919, Ernest Goodpasture described an

18-year-old man with fever and cough who developed hemoptysis and renal

failure (1). At autopsy, this patient had histopathological evidence of vasculitis

with focal necrosis within the spleen and intestinal hemorrhage. In 1958, Stanton

and Tange (2) reported a series of men with glomerulonephritis and pulmonary

hemorrhage and designated this constellation of symptoms, Goodpasture’s

syndrome, based on Goodpasture’s earlier report. Subsequent investigations

demonstrated linear deposition of antibodies along the glomerular basement

membrane (GBM) in individuals with Goodpasture’s syndrome and that anti-

bodies eluted from patients’ kidneys induced proliferative glomerulonephritis in

primates (3,4).