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Introduction: Anti-phospholipase A2 receptor (PLA2R) is detected in approximately 70% of biopsies of "primary" membranous nephropathy (MN). Crescents in MN in nonlupus patients suggest additional injury, such as antineutrophil cytoplasmic antibody (ANCA) or anti-glomerular basement membrane (anti-GBM)-associated glomerulonephritis and are postulated to reflect injury by a mechanism that unmasks cryptic epitopes leading to the second autoantibody.

Methods: We studied PLA2R staining in nonlupus patients with MN and crescents.

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Pulmonary renal syndrome: A case report of diffuse alveolar hemorrhage in association with ANCA negative pauci-immune glomerulonephritis.

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Division of Pulmonary and Critical Care Medicine Department of Medicine, Bronx Care Health System, Bronx, NY Department of Pathology, College of Physicians and Surgeons, Columbia University Affiliated with Icahn School of Medicine at Mount Sinai, New York, NY.

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A 68-year-old woman was admitted to Kinki University Hospital because of progressive renal failure. She had been well until two months before admission. Laboratory data were as follows: serum creatinine 4.

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