Respiratory Pathology · Pathology

A patient with 'Goodpasture Syndrome' will show which pattern on immunofluorescence of the lung biopsy?

  1. Granular 'lumpy-bumpy' IgG deposits along basement membranes
  2. Linear IgG deposits along alveolar basement membranes
  3. IgA deposition in the glomerular mesangium
  4. Absence of immune deposits along alveolar walls (pauci-immune)
Show answer and explanation

Correct answer: Linear IgG deposits along alveolar basement membranes

Goodpasture syndrome is caused by autoantibodies against the alpha-3 chain of Type IV collagen. Because these antigens are uniformly distributed along the basement membrane, immunofluorescence reveals a smooth, linear pattern.

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