ASN represents more than 21,000 kidney health professionals working to help people with kidney diseases and their families. Comprised of all of ASN's focus areas, the ASN Alliance for Kidney Health allows the society to continue its growth and work towards the goal of a world without kidney diseases.
The latest Nephrology Self-Assessment Program (nephSAP) issue, Volume 23: Issue 1 (May 2024): Pediatric Kidney Disease is now available online.
RE: ABMR In Kidney After Liver TX 24 minutes ago
I would still favor a molecular biopsy if it's available and if shows ABMR or mixed AR then would proceed with Plex/IVIG unless creatinine returns ...
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RE: ABMR In Kidney After Liver TX 30 minutes ago
"MFI of 2000 is low for ABMR but it may be falsely low due to prozone phenomenon." this is possible but can be excluded with serial delutions and...
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RE: O K dialysate 1 hour ago
While we are waiting for CRRT experts to weight in , there are 0 k bath dialysste solutions available from different companies but I have never nee...
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RE: O K dialysate 2 hours ago
Sorry- i am confused- would any of the "experts" in CRRT on the Open Forum ever recommend a zero K fluid replacement for a patient with hyperkale...
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RE: persistent post infectious GN 2 hours ago
A great GlomCon session was held this AM with Geetika Singh of Delhi, India as the presenter and Surya Seshan of Cornell Medical College as the Mod...
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RE: O K dialysate 2 hours ago
Have never used less than 2 k bath with IHD regardless of serum K . Either inpatient or outpatient very concerned of causing arrhythmias . Cases wh...
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RE: Board review courses 4 hours ago
I was CO-director of the BRCU from 2017-2023. The original BRCU a while before me was 7 days of intense lectures, then it went to 6 days. After Cov...
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RE: O K dialysate 6 hours ago
Von meinem iPad gesendet
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RE: persistent post infectious GN 6 hours ago
Thanks for the follow up. Good news. Of course, this might be "spontaneous, related to anti-microbial therapy or to steroids or all three in some m...
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RE: persistent post infectious GN 7 hours ago
11g proteins and 2.3 g creatinine- with a clearance of 47.4 ------------------------------ Viswanathan Iyer MD,FACP,FASN Harrisburg PA 717342 47...
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RE: persistent post infectious GN 7 hours ago
Truly thank the messages. Updates are echo is clean I had him in house for a day- and got a 24-hour urine too. it's reassuring-there seems to ...
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RE: O K dialysate 7 hours ago
It's interesting to note the irony in discussing O K bath in CRRT when unlike HD, CRRT almost by definition is used in patients with cardiac instab...
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RE: persistent post infectious GN 7 hours ago
Thanks Dr. Aledan. How well documented is the claim that lambda LC predominance is not seen in IgA-IRGN.? I am unable to find any published literat...
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RE: persistent post infectious GN 8 hours ago
The biopsy IF results is suggestive for IgA dominant infection related GN (3+ C3 and 2+ IgA), but predominance of Lambda light chain 3+ compared to...
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RE: TCM in dialysis 8 hours ago
My understanding is that you can in fact bill TCM in dialysis unit, but need separate note (can't have one note for both MCP visit and TCM). You do...
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RE: TCM in dialysis 8 hours ago
In our DIALIZE study we had pre- and post-HD K results. HD lowers K by > 2meq/L and the MID study showed the large number of intra-dialytic and per...
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Leucopenia Posr Valgancyclovir 10 hours ago
A 50 y F 3 months post LRKT with stable graft function has got recent high grade fever, pneumonia with CMV viremia ( CMV PCR 3500) treated with val...
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RE: Transplant Question 12 hours ago
2 renal transplant us pre biopsy good perfusion, mild Hydronephrosis nil acute 3 calcium 2.47 ( 2.14-2.56) always normal albumin 53 (35-50) always...
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RE: Transplant Question 12 hours ago
@dr lerman 1 - azathioprine 75 mg od, famotidine 20 mg od, lansoprazole 30mg od , prednisolone 5 mg od, beclometasone , amlodipine 10 mg of atorva...
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RE: persistent post infectious GN 15 hours ago
..use of ”canonical” here may be a little boisterous, one was impressed in the way the timeline appears to march sequentially through the three con...
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RE: persistent post infectious GN 16 hours ago
Dr. Tijani - what do you consider canonical evidence of PSGN? Everything in the patients history, laboratory findings and pathology points toward a...
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RE: persistent post infectious GN 16 hours ago
In my view, there are at least three independent conditions in this case, all bridged by a complex inflammatory response. -first is the AKI, indu...
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RE: O K dialysate 19 hours ago
@J. Pedro Teixeira in a patient with AKI on vasopressors in the ICU and on mechanical ventilation with a serum K of 6.5 mmol/l and above, what moda...
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RE: O K dialysate 19 hours ago
In IHD, we can augment K removal by using 0 glucose dialysate and low HCO3 profile as both of these factors may cause shift of K intracellularly af...
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RE: O K dialysate 23 hours ago
Even when the potassium is 7 or 8, I will use the 4K bath to prevent rapid lowering of potassium. If I get it to 5.5 from severe high K, I think th...
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Board review courses 1 day ago
As a general nephrologist most of my time is spent taking care of patients . I update myself by KSAP and Nephsap although neither are meant to be r...
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RE: O K dialysate 1 day ago
I agree with the concept that if rapid lowering of K is needed, of course, HD is superior. However, I definitely have used CRRT to treat life-threa...
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RE: ABMR In Kidney After Liver TX 1 day ago
This is an interesting case which provides an opportunity to observe that ABMR should not be considered as a Yes/No phenomenon. It is an entire spe...
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RE: ABMR In Kidney After Liver TX 1 day ago
Did the patient received antibiotics or NSAIDs before the observed increase in serum creatinine. Tubulointerstitial nephritis may be misinterpreted...
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RE: ABMR In Kidney After Liver TX 1 day ago
Given absence of C4d PTC positive and low level (? Pathological ) DSA and clinical improvement with out PLEX/IVIG , is this ABMR? You might conside...
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TCM in dialysis 1 day ago
Hello forum members, This forum has been a great resource to address questions. I learn something new each day ! Had a question about billing...
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RE: O K dialysate 1 day ago
Has anyone ever seen or heard of a hyperkalemic patient die of hyperkalemia AFTER starting dialysis (at least after the first couple minutes, which...
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RE: O K dialysate 1 day ago
Questions. Do we know the risk of arrythmias when CRRT with a zero K concentration in fluid replacement is used for treatment of hyperkalemia? Wouk...
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RE: O K dialysate 1 day ago
I generally agree with the previous comments. Having said that, I have used a 0 K bath in life threatening hyperkalemia (K 9 or even greater) durin...
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RE: O K dialysate 1 day ago
Agree with Dr. Rodby that rapid K lowering with a risk of arrhythmia occurs in 4 hr HD, while in CRRT the removal is slow and depend mainly on effl...
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RE: persistent post infectious GN 1 day ago
This us not an easy question to answer, as many bacterial and viral infections can exacerbate an acute relapse of pre-existing Primary IgA N, whils...
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RE: persistent post infectious GN 1 day ago
Staphylococcal infection is most common but streptococcus pyogenes is the offending organism is up to about 15-20% of cases, so it is not rare. ...
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RE: persistent post infectious GN 1 day ago
How common is IgA dominant post infectious GN associated with Strep? It must be uncommon? ------------------------------ Roger Rodby MD, FASN Pr...
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RE: O K dialysate 1 day ago
NxStage (and likely all the other companies) makes a CVVHD 0K dialysate for CRRT. The risk of 0K is too rapid reduction of serum K , and is assoc...
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RE: m-Tor In Premalignant Skin Cancer 1 day ago
Thanks for bringing up Kaposi sarcoma. Yes, reduction/discontinuation of CNI should occur first and mycophenolate subsequently in Kaposi. For other...
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RE: O K dialysate 1 day ago
Agree with Dr. Glassock that 0 K bath is associated with high risk of arrhythmia and SCD and the risk is escalated with higher predialysis plasma K...
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RE: ABMR In Kidney After Liver TX 1 day ago
Surprising that an ABMR responded to just adjustment in maintenance immunosuppression. What was the cyclosporine level before it was changed to tac...
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RE: O K dialysate 1 day ago
I agree. The risks of inducing arrhythmias from sudden K shifts is too great.. I have used low K , but not Zero K , dialysate in patients with late...
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RE: persistent post infectious GN 1 day ago
The IF showed 1-2+ IgG, 2+ IgA, 3+ C3 and a slight predominance of lambda LC . Ciq and IgM were negative. The EM showed ED deposits in many locatio...
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O K dialysate 2 days ago
O K dialysate is no longer used by most or all nephrologists as far as I know. I was asked by an intensivist in another hospial about using using...
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RE: persistent post infectious GN 2 days ago
Dr. Glassock, I would like to learn from your thought process, how did you conclude from path report "a diagnosis of IgA dominant infection relate...
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RE: 17q12 deletion syndrome 2 days ago
this appears to be part of the HFNB1 autosomal dominant tubuointerstital disease with variable MODY, renal cysts, CKD, hypoMg syndrome. You co...
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RE: AKI and low C3 2 days ago
Most hypocomplementemia related renal disease has much more pronounced hypocomplemetemia. What does the urine look like? Blood, Protein, RBCs, W...
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AKI and low C3 2 days ago
45 yo Female with history of ulcerative colitis diagnosed 1.5 years ago and started on Mesalamine.One year after that she developed acute kidney in...
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17q12 deletion syndrome 2 days ago
Could you share any experience on how to manage this case of 45 yo male with history of recurrent severe hypomagnesemia, started or diagnosed about...
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