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: Ig A Nephropathy In Pregnancy 3 hours ago
This patient 29 w, Proteinuria 24 h 6 gm , Albumine 26 , cr stable predinslone 5 mg Any suggestions?? --------------------------------- Mohamed M...
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RE: EuroLupus Protocol in patient with eGFR 20 15 hours ago
Does anyone still use the older NIH high dose IV CYC regimen for LN anymore.. If so, for what reason?i ------------------------------ Richard Gla...
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RE: Renal Artery stenosis 15 hours ago
Sure; TNF inhibitors were shown to be associated with eGFR decline HR 1.34 in a cohort study of US veterans with incident IBD Sumida et al JAMA ...
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RE: A Philosophical Question 19 hours ago
Perhaps the answer is in improvement in life expectancy and QOL. So turning to AI Based on the available research, there is evidence th...
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RE: Renal Artery stenosis 19 hours ago
Thank you all for Feedback. Dr Sinasis can you explain the rationale of your recommendations re Stop Humira Stop Ozempic Isosorbide and ...
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RE: EuroLupus Protocol in patient with eGFR 20 19 hours ago
I feel this is correct understanding that Cyclophosphamide AUC is generally considered equivalent regardless of the route of administration, whethe...
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RE: A Philosophical Question 19 hours ago
Dr. Slater- if you are correct, the prospect for a lot of empty chairs in dialysis units looms large. While this is a very good development for med...
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Nephrology salary 20 hours ago
Good morning, Why are nephrology salaries significantly lower than our counterparts in medicine? Cities in northeast offer 150k-180k startin...
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RE: A Philosophical Question 21 hours ago
Poweful Topic -despite the advcements mention we have been moving at a snail pace in regards to ESRD treatment which is about to change IMO we a...
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RE: EuroLupus Protocol in patient with eGFR 20 1 day ago
Thank you Dr Nauman and Dr Venkat for your input ------------------------------ Siev Hong Lor PharmD Pharmacist Liverpool Hospital, NSW E: honglo...
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RE: A Philosophical Question 1 day ago
"AI will ruin the soul of Nephrology"!! . Well, if it is any consolation , we won't be alone in purgatory. But, if we are very careful , we can tam...
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RE: A Philosophical Question 1 day ago
Positives & Negatives Genetic testing opened a huge new perspective in diagnostic projections for current and future kidney problems. Better...
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RE: Renal Artery stenosis 1 day ago
Would not waste time STOP Humira STOP Ozempic Call the surgeon > go for as NAUMAN suggested START Isosorbide Dinitrate 10 bid START Fish oil...
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RE: Renal Artery stenosis 1 day ago
I think a severe RAS which is collateralized may be a reflection of a more chronically hypoxic kidney than if not. While collateralization may prot...
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RE: Tough GN case 1 day ago
Noted, agree, we are pursuing the biopsy, and good point about recurrence potential s/p txplt. Thank you! ------------------------------ Jeffrey ...
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RE: Tough GN case 1 day ago
With 9-10 cm kidneys by US I would probably do a kidney biopsy anyway, (if not contraindicated) to put the final nail on the futility issue. And to...
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RE: Renal Artery stenosis 1 day ago
I think I am in the Klein/Campese camp on this case. I would adopt an aggressive conservative , non-surgical management. At least for now. I doubt ...
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RE: Renal Artery stenosis 1 day ago
In this case, the risk benefit ratio for intervention is too high. Given the presence of diabetes and severe and diffuse atherosclerosis, the ris...
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RE: Renal Artery stenosis 1 day ago
Dr. Hirsch: I agree with you that good collaterals supplying the left kidney can explain the maintained renal function despite the 90% RAS, atrophi...
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RE: Renal Artery stenosis 1 day ago
I must respectively disagree . I think stenting is extremely high risk and though I agree with Dr Rodby that dialysis may be inevitable, until the ...
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RE: Renal Artery stenosis 1 day ago
Dr Venkat, The angiogram might also show evidence of good collaterals (or not). That is possibly inferred by the Cr of 1.2 to 1.5 despite severe bi...
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RE: A Philosophical Question 1 day ago
I would add to the many advances cited, progress in preventing progression of CKD to ESRD, which is one of our most important goals, if not the mos...
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RE: Tough GN case 1 day ago
Thank you for the additional thoughts, Dr. Glassock. I agree, endocarditis going on 2 years does seem unlikely, particularly in the absence of F/...
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RE: Tough GN case 1 day ago
Thanks for the thoughts. Her ultrasound findings: RIGHT KIDNEY: 9.4 cm long. Cortex is thin and mildly echogenic. No mass, stone, or obstruction ...
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RE: A Philosophical Question 1 day ago
Yes, science of nephrology and treatment options for kidney diseases have advanced tremendously. If only the socio-economic problems, delayed nephr...
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RE: EuroLupus Protocol in patient with eGFR 20 1 day ago
Agree with Dr. Nauman regarding cyclophosphamide dose in your patient with eGFR of 20 ml/min. Regarding "excluding preexisting chronic renal failur...
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RE: Renal Artery stenosis 1 day ago
Agree with Dr. Rodby that stenting of left renal artery is justified despite the absence of the generally accepted indications (flash pulmonary ede...
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RE: Renal Artery stenosis 2 days ago
24% function in right kidney is about 9 ml/min of GFR. How about stunting in left and auto-transplantation for right kidney. -------------------...
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RE: EuroLupus Protocol in patient with eGFR 20 2 days ago
I have used 500mg every 2 weeks and have not reduced the dose in lower GFR. My understanding is Cyclophosphamide AUC is equivalent for a given dose...
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EuroLupus Protocol in patient with eGFR 20 2 days ago
Hi all, Can I please find out your experience / practice in treating patient with Lupus Nephritis Class III / IV with IV cyclophosphamide? Loo...
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RE: Memb gn with diabetic nephropathy 2 days ago
Absolutely no data on efficacy and safety of RTX for PLA2R+ MN in this situation, but with a falling anti-PLA2R antibody level and the severe super...
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RE: Tough GN case 2 days ago
Rarely Endocarditis causing CKD can evolve over many months. Admittedly two years would be unlikely but I have seen patients with slowly evolving C...
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RE: Tough GN case 2 days ago
Kidney ultrasound findings (size/echogenicity:cortical thickness? Was anti-GBM antibody negative? I expect the biopsy will show advanced glomerulos...
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Memb gn with diabetic nephropathy 2 days ago
69 year old male with history of spinal cord injury, cervical myelopathy with chronic pain, chronic suprapubic catheter, neuropathy, T2DM, HLD, HTN...
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RE: Tough GN case 2 days ago
Thanks for the clarification. Get Outlook for iOS Confidentiality Notice: This electronic message, including any and all attachments hereto, is ...
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RE: starting spironolactone when cystatin C based GFR 21 (cirrhosis) but creatinind based 41 2 days ago
Agree with others' comments, particularly in that Cystatin C may be more accurate than eGFR in setting of cirrhosis which is commonly associated w/...
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RE: Tough GN case 2 days ago
Cardiac echo because of a concern over endocarditis. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 ----...
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RE: starting spironolactone when cystatin C based GFR 21 (cirrhosis) but creatinind based 41 2 days ago
Which is the ratio Cys C/ Creat.The dissociation between biomarkers could be related to sarcopenia(multi-comorbilities)?In this case, wouldn't it b...
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RE: Tough GN case 2 days ago
Thank you for the help, Dr. Glassock. Complements (C3 and C4) are entirely normal. Did not do RF, FLC or echo--I take it I should check those? ...
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RE: Tough GN case 2 days ago
What is the C3/C4. rheumatoid factor, FLC, echocardiogram? This could be one of many things, PGNMID , Fibrillary GN,IRGN, etc. you need a good kidn...
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RE: A Philosophical Question 2 days ago
I just celebrated 25 years of practicing nephrology. Nephrology is better and more exciting than ever. Plenty of great science being translated in ...
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RE: Renal Artery stenosis 2 days ago
dm well controlled on Ozempic A1c 6. No protein uria. Only on Lisinopril hctz and amlodipine. systolic 110-130 Thank you -------------...
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RE: Tough GN case 2 days ago
Thank you for the prompt feedback, Dr. Rodby. Yes, apologies for not mentioning it, but urine is consistently positive for hematuria. I don't h...
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RE: Renal Artery stenosis 2 days ago
Creatinine 1.2-1.5 I would not bother with renal vein renins, I would not expect BP to get better, or get her off medication. But the writi...
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RE: Tough GN case 2 days ago
P-ANCA 1:160, do you have Elisa, this 1:160 may ne an atypical ANCA and may not mean anything Any hematuria? PLA2R? immunofixation? Statin doi...
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Tough GN case 2 days ago
I would greatly appreciate feedback on this case. 59 yoF with advancing CKD (developing over [More]
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RE: Renal Artery stenosis 2 days ago
Can we assume no flash pulmonary edema.? The main issue is whether stenting the L kidney will lead to better preservation of overall kidney functio...
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RE: dsDNA + and GBM + 2 days ago
Yes, understood. But false positive results with the commercial ELISA antiGBM tests are very uncommon. Anemia (typically iron deficient and microcy...
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RE: dsDNA + and GBM + 2 days ago
agree, but sometimes we have false positive antibody tests as well. ------------------------------ Teri Jo Mauch, MD, PhD, FASN, FAAP Professor ...
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RE: dsDNA + and GBM + 2 days ago
Positive anti-GBM antibodies would not be expected in aHUS. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-88...
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