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Living with Anti-glomerular basement membrane disease

An autoimmune disease in which the body attacks the lungs and kidneys.

Understanding Anti-glomerular basement membrane disease

Anti-glomerular basement membrane (anti-GBM) disease is an autoimmune disease that affects the lungs and kidneys.

Antibodies attack collagen in the kidney filters (glomeruli) and the lung air sacs. This causes kidney inflammation (glomerulonephritis) and bleeding in the lungs. It was once called Goodpasture syndrome or Goodpasture disease. It can begin at a variety of ages.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Blood in the urine (hematuria)
  • Coughing up blood (hemoptysis)
  • Cough and chest pain
  • Trouble breathing
  • Low red blood cells (anemia)
  • Inflamed blood vessels (vasculitis)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include autoimmune and inflammatory disease specialists, kidney specialists and lung and breathing specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Autoimmune Association and Vasculitis Foundation may keep lists of experts for this condition.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Kidney specialists (nephrologists); Lung and breathing specialists (pulmonologists)
Expert care
Expert lists: Autoimmune Association, Vasculitis Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Autoimmune Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How do the kidneys and lungs get checked and followed?
Does my smoking or other exposure matter for my care?
What would the anti-GBM antibody test results tell us?

Quick facts

Symptoms usually starta variety of ages

GARD says it is thought to result from something in the environment, like smoking, infections, or certain drugs, in a person with genetic susceptibility, such as a specific HLA type.

RespiratoryKidney

Also known as: anti gbm - antiglomerular basement membrane disease; anti-gbm nephritis with pulmonary hemorrhage; anti-gbm syndrome; anti-glomerular basement membrane antibody disease; glomerulonephritis - pulmonary hemorrhage; goodpasture disease

Patient organizations

Source: NIH GARD · Anti-glomerular basement membrane diseaseGARD ID 2551 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

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