Abstract

B UCILLAMINE is a new slow-acting antiinflammatory drug developed in Japan l with a chemical structure similar to that of D-penicillamine. The therapeutic effect of bucillamine is believed to be due to the reduction of serum levels of immunoglobulin and rheumatoid factor and the increase in suppressor T cells in patients with rheumatoid arthritis (RA).2 The nephropathies associated with D-penicillamine in patients with RA include membranous glomerulonephritis (MGN), minimal change disease, necrotizing glomerulonephritis, and crescentic glomerulonephritis. The nephropathies of bucillamine may be similar to that of D-penicillamine. This report describes a patient who had rapidly progressive glomerulonephritis (RPGN) following treatment with bucillamine. The renal biopsy specimen had fibrinoid necrosis, . cellular crescents, and adhesions. The variability of bucillamine-associated nephropathy is discussed.

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