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: persistent post infectious GN 21 minutes 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 30 minutes 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 30 minutes 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 2 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 4 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 4 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 7 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 8 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 8 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 11 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 11 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 15 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 16 hours 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 17 hours 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 17 hours 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 17 hours 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 19 hours 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 20 hours 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 22 hours 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 23 hours 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 1 day 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 1 day 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 1 day 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 1 day 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 1 day 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 1 day 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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RE: membranous nephropathy 1 day ago
This will sort itself out with time I would not biopsy unless he develops repeatedly nephrotic range proteinuria I would still follow serum PLA...
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RE: ABMR In Kidney After Liver TX 1 day ago
MFI was 2000 No access to cf-DNA --------------------------------- Ahmed Emara MD, MBChB, FASN Ain shams University Cairo 00201006721401 -------...
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RE: membranous nephropathy 1 day ago
Dr. Hirsch- all good questions- very insightful and challenging , as expected. I will try to answer them, and I hope tgat others will add their own...
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RE: Reversible nephrotic range proteinuria during AKI due to biopsy-proven ATN 1 day ago
This patient has albuminuria and proteinuria which seems quite significant. There are no glomerular lesions in the biopsy to explain the protein lo...
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RE: membranous nephropathy 1 day ago
Dr Glassock I have accepted and followed the guideline that increases in proteinuria down the line in initially PLA2R positive membranous should ...
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RE: Reversible nephrotic range proteinuria during AKI due to biopsy-proven ATN 1 day ago
The following reference is relevant to the patient I posted. The authors report an obstetric ATN case with significant albuminuria. Interestingly, ...
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RE: ABMR In Kidney After Liver TX 1 day ago
What was MFI for DSA? Do you have access to cf- DNA ? If so would get to assess any of allograft injury. Depending on MFI and cf-DNA would decide r...
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RE: membranous nephropathy 2 days ago
The points about auto-antibody affinity , the "immunological sink" hypothesis " and very low but detectable levels of anti-PLA2R antibody by ELISA ...
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RE: membranous nephropathy 2 days ago
It depends from the affinity of the APLA2R Ab I think. Especially in a relapse of MN, if the APLA2 Ab are measured only with ELISA but rarely also ...
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RE: membranous nephropathy 2 days ago
I think it is uncommon for serum PLA2R Ab positive MN to have clinical relapse in the absence of riding titer of serum PLA2R Ab, if present does th...
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Women in Nephrology (WIN) Leadership Conference 2 days ago
Women in Nephrology (WIN) is celebrating its 40th anniversary this year!! The anniversary and our annual leadership conference will be on August 9-...
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ABMR In Kidney After Liver TX 2 days ago
50 y one year post kidney after liver Tx, developed acute allograft dysfunction ( Creat rise from 1.1 to 2.3 mg/dl), Bx showd borderline TCMR with ...
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RE: m-Tor In Premalignant Skin Cancer 2 days ago
@K.K. Venkat Thank you for your comment Just to make sure we are on the same page, in malignancies other than skin, you tend to reduce/stop MMF 1s...
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