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 4 (Oct 2024): Chronic Kidney Disease is now available online.
RE: Potential donor with probable BORSD 1 hour ago
The most commonly used method (ellipsoid) for determining kidney volume is length(average of sagittal snd coronal views ) in cm X width in cm x dep...
View Discussion
RE: Potential donor with probable BORSD 1 hour ago
We use volume calculated from the CTA of the abdomen and pelvis. Calculation is done using a special software. ------------------------------ Kat...
View Discussion
RE: Potential donor with probable BORSD 1 hour ago
What formula do you use for calculating kidney volume from CT or MRI. I believe that calculating kidney volume from US is not very accurate ----...
View Discussion
RE: Potential donor with probable BORSD 2 hours ago
Our practice is calculate the contribution of each kidney to the total volume/GFR 132 + 158 =290 132/290= 45.5% 158/290= 54.5% difference of 9%...
View Discussion
RE: Potential donor with probable BORSD 2 hours ago
Dr Achkar, I agree that "routine" split function may be too often. However, the volume difference here is 16%, so I think it is warranted in y...
View Discussion
RE: Potential donor with probable BORSD 3 hours ago
Thank you Dr. Glassock and Dr. Roberts, our practice has been to do split function when measured GFR is [More]
View Discussion
RE: Potential donor with probable BORSD 3 hours ago
Interesting comment about "routine" examination of split renal function (probably by radioactive nucleide scan). Is this also "routine" in the USA ...
View Discussion
RE: Potential donor with probable BORSD 4 hours ago
We routinely assess split kidney function in kidney donors by radionuclide study. Given the size discrepancy you have described on CT (158 v 132c...
View Discussion
RE: Budenoside for IgA Nephropathy 6 hours ago
Dr. Raducu- You raise an important point about the rising cost of care for IgAN. For the patients in the USA who have commercial health insurance...
View Discussion
RE: Nephrology salary 7 hours ago
Instead of grief, I celebrate the renaissance of Nephrology both from the basic and applied scientific aspects of the discipline. I firmly believe ...
View Discussion
RE: Budenoside for IgA Nephropathy 7 hours ago
What is opinion and practice of the community regarding MMF as long term immunosuppressive therapy in Ig A nephropathy i understand that the tria...
View Discussion
Artifician intelligence in vascular access 14 hours ago
Dear experts Is there any AI based application or app anybody using to predict vascular access outcomes? IS there any trial or project proposed? ...
View Discussion
RE: Nephrology salary 18 hours ago
Dr. Qayum As you may know, Medicare cut down Nephrology service related reimbursement sometime in 2011-2012. It's been over a decade but Nephrolo...
View Discussion
RE: Budenoside for IgA Nephropathy 18 hours ago
The IGNAZ trial (Felzartamab-antiCD38 MoAb is still ongoing in multiple countries and the Phase 2 results look highly promising. Not yet approved b...
View Discussion
RE: Interference with 1,25 OH D Assay 19 hours ago
In the absence of all the factors mentioned in this thread, please look in to what patient has been eating or drinking. Any local tea or coffee wit...
View Discussion
RE: Potential donor with probable BORSD 19 hours ago
You are very likely correct that the mother (potential donor) is an obligate heterozygote for the EYA1 gene (autosomal dominant with varying phenot...
View Discussion
RE: Budenoside for IgA Nephropathy 21 hours ago
Depends on the disease activity. Using anti-CD38 would be a good option to reduce IgA production. ------------------------------ Ashraf El-Mea...
View Discussion
RE: Post operative Kidney transplant care 1 day ago
Yes, transplant surgeons do give a lot of IV fluids intraoperatively and in the first few post-transplant days - 2 to 3 liters in the OR and severa...
View Discussion
RE: Do people born with familial renal glucosuria (mutations of SGLT2) experience the same benefits as patients who receive SGLT2 inhibitors later in life 1 day ago
Dr. Chanda: The following article is relevant to the question you have raised: Familial Renal Glucosuria and Potential Pharmacogenetic Impact on ...
View Discussion
Potential donor with probable BORSD 1 day ago
I would like to get the ASN community input on the following potential kidney donor: 39-year-old LAF with no significant PMH except for sensorineu...
View Discussion
RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
I agree . Since you have a very good explanation for profound iron deficiency, and DAH is unlikely, the possibility that this is anti-GBM disease i...
View Discussion
RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Thanks Drs Glassock Venkat Abdalla Aledan Severe iron deficiency was attributed to menstrual blood losses - sometimes prolonged bleedings - fo...
View Discussion
RE: Do people born with familial renal glucosuria (mutations of SGLT2) experience the same benefits as patients who receive SGLT2 inhibitors later in life 1 day ago
Considerable heterogeneity exists in terms of phenotype-genotype correlations in hereditary renal glycosuria so is quite a spectrum of disorders . ...
View Discussion
RE: Do people born with familial renal glucosuria (mutations of SGLT2) experience the same benefits as patients who receive SGLT2 inhibitors later in life 1 day ago
Here is a worthless response too your answer: I have wondered that so many times. If you have CKD and renal glycosuria will your CKD progress le...
View Discussion
RE: Post operative Kidney transplant care 1 day ago
I have seen this too, Post-transplant you can have (welcomed) a huge diuresis which is a combination of Na and water retained in ESRD (we are ve...
View Discussion
RE: Post operative Kidney transplant care 1 day ago
A modest osmotic (urea) diuresis with polyuria is expected for the first few days after successful kidney transplant. It can be perpetuated (inappr...
View Discussion
Do people born with familial renal glucosuria (mutations of SGLT2) experience the same benefits as patients who receive SGLT2 inhibitors later in life 1 day ago
As a pediatric nephrologist, I do see cases of isolated (not Fanconi) familial renal glucosuria (FRG) and discuss the pathophysiology with parents,...
View Discussion
RE: starting spironolactone when cystatin C based GFR 21 (cirrhosis) but creatinind based 41 1 day ago
There are many ways to approach this and it is very difficult from afar, but here are a couple things perhaps to consider: -an increase in Cr fro...
View Discussion
RE: starting spironolactone when cystatin C based GFR 21 (cirrhosis) but creatinind based 41 1 day ago
Sorry for the delay in reply. The last CAT scan of the abdomen and pelvis without contrast in May, 2023 found cirrhosis of liver did not find any a...
View Discussion
Post operative Kidney transplant care 1 day ago
Hi,hope everyone will be doing fine. I have a question regarding post operative kidney transplant care. I was recently involved in one case of ki...
View Discussion
RE: Interference with 1,25 OH D Assay 1 day ago
Thanks- it must not be a biotin related interference. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 ---...
View Discussion
RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Agree with Dr. Venkat- severe proteinuria raises issue of MCD with AIN or even Collapsing FSGS, neither if which an be diagnosed without a KB, --...
View Discussion
RE: Budenoside for IgA Nephropathy 1 day ago
Amongst the approved meds Filspari and iotacopan clinical trial with anti April /baff agent ------------------------------ Arvind Madan MB...
View Discussion
RE: Interference with 1,25 OH D Assay 1 day ago
Dr Glassock, he has been in house whole time and has not been receiving anything other than prescribed medication. Dr Ticas, test was sent to US ...
View Discussion
RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Urinalysis: WBC > RBC, brings up consideration of AIN + MCD (given abrupt onset of severe nephrotic syndrome), as in NSAID-induced. Positive ANA, n...
View Discussion
RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Serum PlA2R antibodies ؟؟ Although sudden onset of her disease --------------------------------- Alaa Nabih Abdalla nephrology fellow Egypt -----...
View Discussion
RE: Budenoside for IgA Nephropathy 1 day ago
Good question, no good answers. Maybe Iptacopan or in the near future APRIL inhibitor or APRIL /BAFF inhibitor, stay tuned. ----------------...
View Discussion
RE: Budenoside for IgA Nephropathy 1 day ago
What is the best alternative to corticosteroid in patients with IgA nephropathy, particularly in patients with contraindications to corticosteroid?...
View Discussion
RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Agree with Dr. Glassock thoughts. What about serum LDH, WBC and platelet? Blood smear? Reticulocyte count? Acute severe anemia that necessate bloo...
View Discussion
RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Normal Complements , negative anti-dsDNA makes Class IV LN less likely. What is the anti-GBM antibody .- severe Fe deficiency might suggest occult ...
View Discussion
RE: Normal Saline shortage 1 day ago
Group,This is a case of 47 yo female who had left sided pelvic pain found to have prominent prominent left gonadal and paramterial veins with colla...
View Discussion
RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
UA: 10/1/24 Yellow Turbid 1026 Bili - pH 6.5 Ub - Bld 2+ Glu. 30 Keton- Prot 600 Nitrit- LE 25 : Trace mucus, wbc35 rbc 25 sq ep 6 Bacteriae 2+ S...
View Discussion
RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Hydralazine, Allopurinol or Minoxidil therapy? What does a urinalysis show? What is the serum albumin level.? ------------------------------ Rich...
View Discussion
ANA related NP? NPHS2 mutation ? Obesity related FSGS? 2 days ago
ANA related NP? NPHS2 mutation ? Obesity related FSGS? Dear Community HELP ME find the diagnoses and treat her. 25 yo ww 470 lbs. m. Obesit...
View Discussion
RE: Normal Saline shortage 2 days ago
Hello Dr. Masud, There was a string on communities, started 6 days ago by Dr Casey Watkins. I have pasted it below, with my reply. Since these...
View Discussion
RE: Interference with 1,25 OH D Assay 2 days ago
Communication with your colleagues in charge of the clinical chemistry lab may be the best way to proceed. There are too many reasons for interfere...
View Discussion
RE: Interference with 1,25 OH D Assay 2 days ago
I have found elevated ACE a few times when the assay showed a relatively low 1,25 D I also agree that immobilization can cause hypercalcemia, esp...
View Discussion
RE: Interference with 1,25 OH D Assay 2 days ago
Biotin is not a prescription medication. Check over-the-counter use of vitamin supplements, just to be sure . ------------------------------ Rich...
View Discussion
RE: Nephrology salary 2 days ago
Dear Dr. Qayyum, Regarding the starting salaries reported by participating fellows, 4 indicated they were practicing hospital medicine (2 as int...
View Discussion
RE: Normal Saline shortage 2 days ago
I cannot imagine why you couldn't use it, it is FDA approved for IV installation. IS there anything in it that would preclude using it as a prim...
View Discussion