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She recovered from her illness with significant improvement to her kidney function. The cause of her relapse was thought to be possibly due to the use of hair dye. This case highlights the importance of acknowledging potential environmental exposures to prevent relapses of disease. We were also able to demonstrate a case of successful treatment of anti-GBM disease with rituximab.<\/jats:p>","DOI":"10.1136\/bcr-2020-240543","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T13:21:40Z","timestamp":1617283300000},"page":"e240543","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Relapse of treated anti-GBM disease following hair dye use"],"prefix":"10.1136","volume":"14","author":[{"given":"James","family":"Povey","sequence":"first","affiliation":[{"name":"Department of Nephrology, NHS Dumfries and Galloway, Dumfries, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine","family":"Rutherford","sequence":"additional","affiliation":[{"name":"Department of Nephrology, NHS Dumfries and Galloway, Dumfries, UK"},{"name":"Institute of Medical and Cardiovascular Sciences, BHF Cardiovascular Research Centre, University of Glasgow, Glasgow, 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