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: Tarpeyo use in IgA Nephropathy patients with Low GFR 6 hours ago
As stated, we have no data that can provide a useful answer to your question- only anecdotes and opinions. It might help to know more about the spe...
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Tarpeyo use in IgA Nephropathy patients with Low GFR 6 hours ago
Hello Neph Community, Has anyone had good success with using Tarpeyo in patients with GFR in the 20's? The cut off in trials has been >30, so ...
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RE: Calling All Nephrologists: What's Your Workflow Wisdom? 10 hours ago
In the era of the EMR, I use it when I get a consult, within five minutes reviewing the case, labs etc etc then I put in preliminary orders for wha...
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RE: Calling All Nephrologists: What's Your Workflow Wisdom? 1 day ago
I have been doing this for a long time and have a few suggestions. Never take anything for granted and question everything you are told. I firs...
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RE: atypical Anti GBM 1 day ago
This patient had findings compatible with Atypical anti-GBM disease. In this condition, the evidence (so far) for a "need" to give immunosuppresiiv...
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RE: Renal biopsy for low C4, and history of subacute cutaneous lupus, ANA positive 1: 320 and speckled but C3, urinalysis, double-stranded DNA antibody are normal , urine protein undetectable and creatinine stable > 1 year 1 day ago
Agreed No indication for a kidney biopsy in this patient. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885...
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RE: atypical Anti GBM 1 day ago
@prof glassock based on the biopsy there is an element of activity . Would not that mean we need to immunosuppress? Thanks ----------------------...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity 1 day ago
Thank you 😊 --------------------------------- Alaa Nabih Abdalla nephrology fellow Egypt --------------------------------- [More]
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity 1 day ago
Deposits that are rarefied or becoming licentious by EM indicate ongoing reabsorption of the deposits. Small usual density deposits immediately und...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity 1 day ago
Thank u dr fogo for clarification My Q in EM does deposits type radiolucent or radio dense help to distinguish non active from active disease ---...
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RE: Renal biopsy for low C4, and history of subacute cutaneous lupus, ANA positive 1: 320 and speckled but C3, urinalysis, double-stranded DNA antibody are normal , urine protein undetectable and creatinine stable > 1 year 1 day ago
No evidence of active lupus nephritis supported by normal urine ..no hematuria ..and stable ckd Only c4 is low and it happened before without clin...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity 1 day ago
The spikes are a matrix reaction from podocytes to deposits. Spikes mean that the deposits have been there long enough to result in a visible matri...
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RE: ATI, Anuria post kidney transplant 1 day ago
Given nephrotic range proteinuria but low normal serum albumin - would get urine protein electrophoresis and if confirms primarily urine albuminuri...
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Renal biopsy for low C4, and history of subacute cutaneous lupus, ANA positive 1: 320 and speckled but C3, urinalysis, double-stranded DNA antibody are normal , urine protein undetectable and creatinine stable > 1 year 1 day ago
White gentleman age 76 reports having lupus for decades since 1992 but never had kidney biopsy that he can remember. Remembers biopsy of skin decad...
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RE: Hypokalaemia in dialysis patient 1 day ago
Daily urine output? Potassium concentration in urine? Medications? Laboratory method for potassium? ------------------------------ Giovanni Can...
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RE: Hypokalaemia in dialysis patient 1 day ago
Be careful- hyperlipidemia may interfere with the accurate estimation of electrolyte levels, including Potassium, in lipemic plasma. -----------...
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Hypokalaemia in dialysis patient 1 day ago
51 years old female patient known case of hypertension, medullary sponge kidney, distal RTA , severe hypertriglycerdiemia with recurrent hypokal...
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RE: Calling All Nephrologists: What's Your Workflow Wisdom? 2 days ago
I have 3 bits of advice: It is so easy to become complacent and complacency generates mediocrity. There is nothing wrong with mediocrity, almost no...
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RE: ATI, Anuria post kidney transplant 2 days ago
Encouraging that renal function has recovered in this previously anuric/dialysis-dependent patient. Increase in UPr/Cr to ~ 8 g/g from prior level...
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RE: ATI, Anuria post kidney transplant 2 days ago
No rituximab was given till now This was my question actually bases on the stable condition now apart from proteinuria -------------------------...
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RE: ATI, Anuria post kidney transplant 2 days ago
No just received 6 sessions after the 1st biopsy This was about 3 weeks before the last FUP labs --------------------------------- Ahmed Emara M...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity 2 days ago
Do the spikes suggest active immunologic disease or could this still (in the absence of EM to distinguish) be Stage 4, inactive immunologically? ...
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RE: Calling All Nephrologists: What's Your Workflow Wisdom? 2 days ago
Dear Dr. Zapata, When consulting in the hospital or in the office , something that worked well for me for 40 years was: 1) take a look at the ...
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RE: ATI, Anuria post kidney transplant 2 days ago
No just received 6 sessions after the 1st biopsy This was about 3 weeks before the last FUP labs --------------------------------- Ahmed Emara M...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity 3 days ago
Pregnancy can be considered as a reasonable test for renal reserve. I would like to know what was the reason for the C section. If it was not relat...
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RE: Calling All Nephrologists: What's Your Workflow Wisdom? 3 days ago
The answer is already inside your question. You have a good structure of thinking. You need nothing else but keep reading. I will try to attach a f...
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Calling All Nephrologists: What's Your Workflow Wisdom? 3 days ago
As a newly practicing nephrologist, I find myself reflecting on the transition from fellowship to independent practice. While fellowship lays the f...
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Seeking Research Opportunities for ASN Conference Abstract Submission 3 days ago
Dear Members of the ASN Community, I hope this message finds you well. My name is Amna Zaheer, and I am a 3rd-year medical student at Liaquat Nat...
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RE: ATI, Anuria post kidney transplant 3 days ago
Is your patient still receiving plasmapheresis and if so, how often, has he been treated with retuximab? ------------------------------ [Mark] ...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity Thursday, December 5 @ 11:45 PM
Thanks, as I made a correction earlier, hypertension was diagnosed only 3 months ago for complaint of headache. She had her third child birth with ...
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RE: ATI, Anuria post kidney transplant Thursday, December 5 @ 10:55 PM
Yes exactly We tested UPCR many times after the 1st time it ranged from 8-10 gm/gm S. Albumin sometimes was mildly low (3.2 - 3.3) but last read...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity Thursday, December 5 @ 1:57 PM
The chronicity and MN could be 2 different things. Does she have any history suggestive of developmental reduced nephron number (very low birth wei...
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RE: ATI, Anuria post kidney transplant Thursday, December 5 @ 12:30 PM
"UPCR ~8 gm" Dr. Emara: please clarify. Since SCr is now 0.8 mg and SAlb is 3.5 g, is the UPr/Cr really hugher (8 g vs. 2.2 g/g before) Thanks....
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RE: ATI, Anuria post kidney transplant Thursday, December 5 @ 12:00 PM
@K.K. Venkat @Mark Lerman --------------------------------- Ahmed Emara MD, MBChB, FASN Ain shams University Cairo 00201006721401 -------------...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity Thursday, December 5 @ 10:37 AM
Thanks Drs. Glassock and Rodby for prompt response. There is one correction in the history. Hypertension was discovered only 3 months ago for compl...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity Thursday, December 5 @ 7:03 AM
I agree in general with Dr. Rodby's comments. However, very chronic PLA2R associated MN , an a full spontaneous immunological remission but with ma...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity Thursday, December 5 @ 6:30 AM
I would bet we wont be able to get any more information on specific staining for NELL1 exostosin etc. 3 grams of proteinuria, not nephrotic syndr...
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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity Thursday, December 5 @ 4:59 AM
I would not characterize this patient as having low risk pMN. We do not know which diagnostic subcategory of "Primary " MN most likely is present i...
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RE: ATI, Anuria post kidney transplant Thursday, December 5 @ 2:58 AM
Last update EM just back : 100% effacement of FP ! Last FUP creat 0.8 S.albumin 3.5 gm/dl No edema UPCR ~8 gm FK 8 On Tac/MMF/Psl What's your...
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Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity Thursday, December 5 @ 2:01 AM
33 y/o lady physician, a mother of 3 children, is known hypertensive for 3 years. A recent abdominal ultrasound for some unrelated reason showed no...
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RE: Minimal Change- FSGS treatment resistance Wednesday, December 4 @ 5:31 PM
I second Dr. Glassock concern about sensitivity of PET. Recurrence is a possibility, did the oncologist do flow cytometry? Was his initial lymph...
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RE: atypical Anti GBM Wednesday, December 4 @ 3:50 PM
Addendum- in the absence of crescents in the kidney biopsy, the treatment of this condition is very uncertain and no RCT have been performed. Som...
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RE: atypical Anti GBM Wednesday, December 4 @ 3:16 PM
This case has all of the "ear-marks" of what has been called "Atypical anti-GBM disease"; namely, - mesangiopathic GN without Crescents, linear IgG...
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atypical Anti GBM Wednesday, December 4 @ 1:18 PM
I saw 52-year-old female patient on 10/6/24 with hypothyroidism, vitamin D deficiency, asthma, migraine, s/p hysterectomy and arthritis in hands, H...
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Kidney Week 2025 Content Suggestions due Dec 11 Wednesday, December 4 @ 12:00 PM
ASN is soliciting session suggestions for next year's meeting. Each suggestion must include the content and faculty for a complete session. To sub...
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Kidney Week 2025 Content Suggestions due Dec 11 Wednesday, December 4 @ 12:00 PM
ASN is soliciting session suggestions for next year's meeting. Each suggestion must include the content and faculty for a complete session. To sub...
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Kidney Week 2025 Content Suggestions due Dec 11 Wednesday, December 4 @ 12:00 PM
ASN is soliciting session suggestions for next year's meeting. Each suggestion must include the content and faculty for a complete session. To sub...
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Kidney Week 2025 Content Suggestions due Dec 11 Wednesday, December 4 @ 12:00 PM
ASN is soliciting session suggestions for next year's meeting. Each suggestion must include the content and faculty for a complete session. To sub...
View Discussion
Kidney Week 2025 Content Suggestions due Dec 11 Wednesday, December 4 @ 12:00 PM
ASN is soliciting session suggestions for next year's meeting. Each suggestion must include the content and faculty for a complete session. To sub...
View Discussion
Kidney Week 2025 Content Suggestions due Dec 11 Wednesday, December 4 @ 12:00 PM
ASN is soliciting session suggestions for next year's meeting. Each suggestion must include the content and faculty for a complete session. To sub...
View Discussion