%0 Case Reports %T A case of relapsing anti-GBM disease secondary to alemtuzumab therapy. %A Leibowitz SM %A Manickam V %A Srivastava V %A Kan G %J CEN Case Rep %V 13 %N 3 %D 2024 Jun 9 %M 37943475 暂无%R 10.1007/s13730-023-00822-6 %X We report the first case of relapsing anti-GBM disease secondary to alemtuzumab in a 24-year-old female with relapsing-remitting multiple sclerosis. Initial anti-GBM disease was detected 10 months after alemtuzumab was given and was diagnosed by demonstrating high anti-GBM antibody titers and with a confirmatory kidney biopsy. The patient presented with a rapidly progressive glomerulonephritis with no pulmonary involvement. After appropriate treatment, the patient went into remission with undetectable anti-GBM antibodies. However, 20 months later, the patient re-presented with relapsing anti-GBM disease. Despite aggressive treatment, the patient became dialysis-dependent.