Anti-glomerular basement membrane disease, ulcerative colitis, and primary sclerosing cholangitis: link or co-incidence?

Emilie Pinçon (1) , Guillaume Bouguen (2) , Guillaume Coiffier (1) , Joseph Rivalan (1) , Patrick Le Pogamp (1) , Nathalie Rioux-Leclercq (3) , Cecile Vigneau (1)

1 Service de néphrologie [Rennes]
2 Service d'hépato-gastro-entérologie [Rennes] = Gastroenterology [Rennes]
3 Service d'anatomie et cytologie pathologiques [Rennes] = Anatomy and Cytopathology [Rennes]

Ulcerative colitis, primary sclerosing cholangitis, and anti-glomerular basement membrane disease (anti-GBM) are three rare immune diseases with incompletely under-stood pathogenic mechanisms. We describe here the case of a 29-year-old man with ulcer-ative colitis and primary sclerosing cholang -itis who, eight years later, developed anti-GBM disease with destruction of all glomeruli leading to end-stage kidney disease. Association of these three immune diseases in the same patient has never been described. Because HLA-mediated susceptibility cannot be incriminated completely in our case, we hypothesize that environmental factors or previous immunosuppressive treatment used might be the link.

Domaines: Sciences du Vivant [q-bio]

Emilie Pinçon, Guillaume Bouguen, Guillaume Coiffier, Joseph Rivalan, Patrick Le Pogamp, et al.. Anti-glomerular basement membrane disease, ulcerative colitis, and primary sclerosing cholangitis: link or co-incidence?. Nephrology Reviews, 2010, 2 (1), pp.47-48. ⟨10.4081/nr.2010.e10⟩. ⟨hal-01117592⟩