 This case report describes a rare combination of autoimmune disorders in a pregnant woman. The patient was diagnosed with both anti-neutrophil, cytoplasmic antibodies, ANCAs, and anti-glamourular basement membrane antibodies, anti-GBMS, which are known causes of renal failure. Despite aggressive treatment, the patient's condition worsened and she eventually required dialysis. This article was authored by Smita Divyavir, Vaibhav Tuwari, Malagutapadil, and others.