Steroid Therapy in Goodpasture's Syndrome

Excerpt

To the editor: The recent paper by de Torrente and associates ("Serious Pulmonary Hemorrhage, Glomerulonephritis, and Massive Steroid Therapy," Ann Intern Med 83:218-219, 1975) indicates that massive steroid therapy may provide an alternative to bilateral nephrectomy as therapy for life-threatening pulmonary hemorrhage in patients with Goodpasture's syndrome. We wish to report a second case of lung hemorrhage in Goodpasture's syndrome successfully treated with massive steroid therapy.

A 32-year-old Eskimo woman was admitted to the hospital because of cough, hemoptysis, and progressive shortness of breath of 5 days' duration. She gave a history of right upper lobectomy for therapy of tuberculosis