Anti-GBM glomerulonephritis / Nabia Idaam Mustapa Albakari

Anti- GBM is a rare, life-threatening disease, which characterized by production of auto antibodies towards glomerular membrane. It is diagnosed by high presence of anti­ GBM in blood and renal biopsy finding. It poses a diagnostic challenge and may delay treatment if the antibody was negative. In this report, we illustrate an unusual case with clinical and histological finding of anti-GBM disease without evidence of circulating anti-GBM antibody and suspicious of plasma cell dyscrasia from renal biopsy finding.