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 22: Issue 4 (Feb 2024): Pregnancy and Kidney Disease is now available online.
RE: Dialysis in delayed presentation of EG ingestion 4 hours ago
Thank you Dr Rodby. Yes, she continues to be oliguric. ------------------------------ Naveen Trehan MD Arkansas Renal Group Hot Springs AR (31...
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RE: lupus management 6 hours ago
Thanks Dr. Hirsch and Dr. Balan for your erudite and well-reasoned arguments for a conservative, watch and wait strategy for this patient with LN i...
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RE: Dialysis in delayed presentation of EG ingestion 6 hours ago
when EG is delayed you will see exactly that, EG level gone and now presently only with the AKII, and there is no reason to dialyze for EG, but as ...
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RE: lupus management 6 hours ago
"The serological findings are viewed as largely irrelevant to clinical treatment decisions." I can only speak anecdotally on this but I find tha...
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RE: lupus management 8 hours ago
While I do not believe that this patient requires an increase in immunosuppression, I do not negate the value of serology. I don't perform serology...
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RE: lupus management 8 hours ago
I have followed the "majority" in basing decisions on clinical signs. Therefore, I don't order serology. However, it's somewhat of a non-issue sinc...
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Dialysis in delayed presentation of EG ingestion 9 hours ago
Hello, I wanted to get some information on indications of dialysis in delayed presentation of EG toxicity. Have a 24 yr old young caucasian wh...
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RE: lupus management 13 hours ago
The Majority view (so far) is that this patient does not need any change in therapy so long as complete clinical remission is obtained and persists...
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RE: lupus management 15 hours ago
Thanks Dr. Rodby for your worthy contribution to this debate. I full understand your reluctance to add any medication when the patient is doing so ...
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RE: lupus management 21 hours ago
I have no issue with adding belimumab , but I dont know if it had been shown to be of value as a maintenance agent for lupus nephritis. The only do...
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RE: lupus management 1 day ago
Dr. Kim. You may want to access and read the following paper as it has some relevance to your patient. I would recommend that you measure anti-Smit...
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RE: lupus management 1 day ago
Dr. Kim. Interesting question. I don't think that anyone has a good answer. Personally, I think it is combination of auto-antibodies and Complement...
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RE: lupus management 1 day ago
Personally I would not treat a DS DNA by itself. What were the serologies (C3 C4 DS DNA) when the patient was first diagnosed with Class III on ...
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RE: lupus management 1 day ago
thank you for comments. watchful observation is what I am doing,, though I often find clean urinalysis betrays me. Assuming no clinical change ...
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RE: lupus management 1 day ago
thank you for comments. watchful observation is what I am doing,, though I often find clean urinalysis betrays me. Assuming no clinical change ...
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RE: lupus management 1 day ago
thank you for comments. watchful observation is what I am doing,, though I often find clean urinalysis betrays me. Assuming no clinical change ...
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RE: lupus management 1 day ago
With urine normal, I want more (something in the urine, or much worse serology) before I increase treatment assuming she is taking her MMF 3 grams ...
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RE: Measuring individual kidney creatinine clearance 1 day ago
left kidney urine volume 1,100 ml creatinine total, urine 92 mg/g Cr Cl 8 And Right kidney urine volume 2900 ml creatinine total, uri...
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RE: Measuring individual kidney creatinine clearance 1 day ago
57 year-old bedridden with quadriplegia with SPC unclear if intermittent clamped drainage or continuous drainage into the bag done He has several ...
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RE: lupus management 1 day ago
I agree with Dr. Balan's recommendations. In addition, please increase frequency of monitoring of BP, SCr, urinalysis/sediment and UPr/Cr or UAlb/C...
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RE: lupus management 1 day ago
I am not really convinced that serological markers should be treated. Clinically this patient is in remission. I believe you continue the same mana...
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LAST CALL: Volunteer by TODAY May 8 to serve as a case report reviewer for Kidney Week 2024! 1 day ago
ASN invites ASN Fellows-in-Training members to serve as reviewers for case reports submitted by trainees for Kidney Week 2024. The reviewing/gradin...
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RE: lupus management 1 day ago
I assume that the eGFR is normal as well. So the patient is in a complete clinical remission of her kidney disease, but remains serologically activ...
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RE: IgA Nephritis and pneumonia, underlying CKD with co morbidities 1 day ago
IgA vasculitis..hold mmf taper steroid ..after resolution of infection ..consider Rituximab --------------------------------- Alaa Nabih Abdalla ...
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RE: lupus management 1 day ago
Urine is completely bland and normal --------------------------------- Youngho Kim MD Pacific Nephrology Associates Tacoma WA -------------------...
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RE: lupus management 1 day ago
Please give current UPCR or 24 hour proteinuria and eGFR. I assume that the urine sediment is normal. If she is in a complete clinical remission, a...
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RE: Membranous nephropathy 1 day ago
We can help to get that information. Drop me a line. ------------------------------ Quansheng Zhu MD, PhD ImmunoWork Monrovia CA (310) 279-2584 -...
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lupus management 1 day ago
Welcome any comments. Thank you in advance 29 y/o female with lupus, Class III on biopsy in 6/2022. normal Creatinine, mild hematuria resolved ...
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RE: IgA Nephritis and pneumonia, underlying CKD with co morbidities 1 day ago
This is IgA V not Pimary. IgA N. The evidence for efficacy of MMF + Steroids in IgAV is extreme,y weak. I would stop the MMF, , taper steroids and ...
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IgA Nephritis and pneumonia, underlying CKD with co morbidities 1 day ago
Hello, I have 71 year old cKD stage 3/4 baseline cr 2.0 significant co morbidities DM2 A1c ranging 8-9 , systolic CHF EF 33 % , significant...
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RE: Progressive renal failure with High ANA, low Complement (C4) and positive cryoglobulins 1 day ago
My impression is RF positive in both type II and III cyyoglobulinemia Also no vasultic rash which develops almost in every pt with MCS ---------...
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RE: Measuring individual kidney creatinine clearance 1 day ago
Thanks for the data. Tc99-MAG3 is excreted by by both GFR and tubular mechanisms. It is not a true marker of GFR. Tc99 DTPA is exclusively handled ...
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RE: Measuring individual kidney creatinine clearance 1 day ago
left kidney urine volume 1,100 ml creatinine total, urine 92 mg/g Cr Cl 8 And Right kidney urine volume 2900 ml creatinine total, uri...
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DUE MAY 8TH: Opportunity for Fellows. Encourage fellows to volunteer as case report reviewers for Kidney Week 2024! 2 days ago
ASN invites ASN Fellows-in-Training members to serve as reviewers for case reports submitted by trainees for Kidney Week 2024. The reviewing/gradin...
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RE: Progressive renal failure with High ANA, low Complement (C4) and positive cryoglobulins 2 days ago
Type II or Type III? Type II is "mixed" IgG/IgM CryoIg .Thanks. Let us know the EM findings when available. ------------------------------ Richar...
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RE: Progressive renal failure with High ANA, low Complement (C4) and positive cryoglobulins 2 days ago
further discussion today with Immunologist, confirming type III mixed cryoglobulinemia (trace amount). planning to start her on Rituximab soon ...
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RE: Young patient with Lupus-like pattern on IF in kidney biopsy 2 days ago
I agree that infection (including Bartonella, Borellua , Q fever, leptospirosis, etc needs to be excluded by appropriate culture and serology. Do y...
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RE: Young patient with Lupus-like pattern on IF in kidney biopsy 2 days ago
Kidney and liver are injured . With splenomegaly .Infection should be excluded ..bartonella can cause this full house pattern Leptospirosis can ca...
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RE: Progressive renal failure with High ANA, low Complement (C4) and positive cryoglobulins 2 days ago
If this is a "polyclonal " CryoIg why is the RF elevated. Thus suggests a mixed IgG=IgM Type II CryoIg. Could this be old burnt out HCV and a late ...
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RE: Progressive renal failure with High ANA, low Complement (C4) and positive cryoglobulins 3 days ago
quantitative cryoglobulin report not available. surprisingly, patient has no features of any vasculitis, neuropathy or arthropathy. she was even ...
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RE: Progressive renal failure with High ANA, low Complement (C4) and positive cryoglobulins 3 days ago
Thanks for your response Rheumatoid factor (RF) Latex 48 IU/ml ( normal range < 30) Cyclic citrullinated peptide (CCP) antibodies <1 no prev...
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RE: Progressive renal failure with High ANA, low Complement (C4) and positive cryoglobulins 3 days ago
that is a VERy low C4 and this has been described in cryoglobulinemia. Do you have a quantitative amount of the cryoglobulin? ----------...
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RE: Progressive renal failure with High ANA, low Complement (C4) and positive cryoglobulins 3 days ago
Thanks for your response Albumin Creatinine ratio is in mg/mmol normal range (0.0 -3.6) Complement C4 level 0.072 (range 0.150 - 0.450 g/L) N...
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RE: Nephrotic syndrome treatment 3 days ago
Equivocal staining for IgG and IgM. Nothing remarkable ------------------------------ M Kaisar Nephrologist Brisbane ---------------------------...
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RE: Appears to be posting issues here 3 days ago
Seems to be fixed. ------------------------------ Roger Rodby MD, FASN Professor of Medicine Rush University Medical Center Chicago IL (773) 505...
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RE: Young patient with Lupus-like pattern on IF in kidney biopsy 3 days ago
seems to be working again ------------------------------ Roger Rodby MD, FASN Professor of Medicine Rush University Medical Center Chicago IL ...
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RE: Nephrotic syndrome treatment 3 days ago
HelloWe don't have EM yet. There is a a long delay in getting EM at the moment due to technician issues as all done in a single centre. Sent from ...
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RE: Progressive renal failure with High ANA, low Complement (C4) and positive cryoglobulins 3 days ago
What is the Rheumatoid Factor level? How sure are you that the Cryo is polyclonal? Have you tested for HCV viral RNA.? --------------------------...
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RE: Nephrotic syndrome treatment 3 days ago
He might be a candidate for RTX. Any "dusting " of IgG in the glomeruli by frozen IF? ------------------------------ Richard Glassock MD, FASN La...
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RE: Young patient with Lupus-like pattern on IF in kidney biopsy 3 days ago
this is a test of the software, there have been problems posting. ignore ------------------------------ Roger Rodby MD, FASN Professor of Medici...
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