RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 5 minutes ago

This is problematic and nausea and acidosis clearly a problem with STS.  Have you considered more frequent HD, perhaps with lower dose STS after ea...

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Proteinuria in a young woman 13 minutes ago

I have a 19 year old white female who has had intermittent proteinuria. 24 hour urine showed 700 mg protein, urine protein to creatinine ratios  si...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 17 minutes ago

I am treating one currently who has been given cinacalcet, sodium thiosulphate and hyperbaric oxygen and despite close to 20 session of hyperbaric ...

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RE: fellow help request 41 minutes ago

I will follow up with this! Thank u! ------------------------------ Jennifer Waldmann MD Fellow hackensack meridian howell NJ (732) 996-6741 ------...

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RE: fellow help request 41 minutes ago

I didn't know of this resource until now. I wish the figures were well labeled. But def a good resource. Thank u! ------------------------------ Je...

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RE: fellow help request 42 minutes ago

Yes I actually attend this, it is very good. I think it's more repetition I need with the figures.  thanks!  ------------------------------ Jenni...

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RE: fellow help request 46 minutes ago

Columbia has an excellent renal pathology course. I took it a number of years ago as a fellow. I believe that it is offered once a year for ~ 3D. H...

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RE: fellow help request 1 hour ago

I also suggest going to YouTube. And searching "Arkana pathology.". They have a number of. Recorded video sessions on interpreting renal pathology....

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RE: One kidney biopsy and three pathological diagnoses ??? 6 hours ago

I did consider Rituximab or other anti  B cell TX as steroid sparing I was not aware of RITHUXILUP-  The problem is as you mentioned is coverage Do...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 9 hours ago

Thank you Dr. Sprague fot your comments. ------------------------------ Anne Margaret Ang MD Philippine Society of Nephrology Quezon City 9369070 -...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 9 hours ago

I agree with Dr Rodby and would pursue STS.  I have treated numerous patients with various degrees of severity and have treated some who were also ...

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RE: anti-PLA2R Ab and crossmatch 12 hours ago

I agree with Dr. Lerman. ------------------------------ Richard Glassock MD, FASN Emeritus Professor David Geffen School of Medicine at UCLA Laguna...

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RE: One kidney biopsy and three pathological diagnoses ??? 13 hours ago

Assuming you could obtain RTX coverage, would this elder with osteoporotic fractures be an ideal pt for the oral steroid-free RITUXILUP protocol? -...

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RE: crescntric lupus nephritis in transplant kidney 13 hours ago

Any Light chain restriction of the deposits.  Although the patient is young, recurrent monoclonal IgG Deposition Disease needs to be considered., a...

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RE: Challanging case of PLA2R+ve membranous 15 hours ago

I don't understand the hesitancy to look and make a more informative decision with the aid of histological changes. After all, the complications af...

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RE: Challanging case of PLA2R+ve membranous 15 hours ago

Just wondering.  Is this patient a candidate for for SGLT2  inhibitor Therapy. Note the FSGS lesions  in the original Biopsy.. --------------------...

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RE: Challanging case of PLA2R+ve membranous 15 hours ago

These cases with RTX induced partial immunological remission and very delayed, if any,  clinical remission must be the exception  and not the rule....

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RE: fellow help request 18 hours ago

I also just took the ITE and had studied histology via AJKD Atlas of Renal Pathology. It's an excellent source (and free!).  ----------------------...

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RE: One kidney biopsy and three pathological diagnoses ??? 19 hours ago

Thanks again, Dr Roger As i predicted, she is very anxious about another KB She told me that after first biopsy there was a serious hemorrhage and ...

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RE: fellow help request 19 hours ago

Rush University Medical Center has a weekly biopsy conference. Thursdays 1-2 pm, zoom.  Email pravirbaxi@gmail.com to be put in our emailing list. ...

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RE: Challanging case of PLA2R+ve membranous 19 hours ago

Very similar to this case from last week https://community.asn-online.org/communities/community-home/digestviewer/viewthread?GroupId=37&MessageKey=...

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Challanging case of PLA2R+ve membranous 20 hours ago

Would be grateful for views on a case of PLA2R +ve membranous. ongoing nephrotic syndrome & deteriorating renal function after 9 months of immunosu...

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RE: One kidney biopsy and three pathological diagnoses ??? 20 hours ago

IF she refuses biopsy, I could live with empiric treatment and eliquis. Better than no treatment at all from  a risk benefit ratio. I would be OK w...

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RE: One kidney biopsy and three pathological diagnoses ??? 23 hours ago

Thanks a lot, Dr Rodby and Dr Venkat With another patient I certainly would do another KB, but... I will try and convince her to repeat KB, but I a...

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RE: One kidney biopsy and three pathological diagnoses ??? 1 day ago

Given the lack of thromboembolic problems and thrombocytopenia, I do not believe that change from apixaban to warfarin is indicated. I am unable to...

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RE: Apply by May 5 to serve as a 2021 Kidney Week case report reviewer 1 day ago

I would like to be reviwer. Thanks ------------------------------ Patrícia Valerio MD Dr. Setúbal ------------------------------

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RE: crescntric lupus nephritis in transplant kidney 1 day ago

Will you be able to obtain EM on the biopsy? Location of electron-dense deposits and the presence of tubulo-reticular inclusions will be important ...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 1 day ago

To me it looks like calciphylaxis, pre eschar formation. ------------------------------ John Mellas MD Nephrology and Hypertension Specialists St L...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 1 day ago

The skin lesions are tender. No ulcers yet. ------------------------------ Anne Margaret Ang MD Philippine Society of Nephrology Quezon City 936907...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 1 day ago

Does this patient have calciphylaxis/CUA? The clinical photograph appears to show areas of bruising. Skin ulceration appears to be lacking. Were th...

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RE: One kidney biopsy and three pathological diagnoses ??? 1 day ago

It is very hard to guess here, Antiphospholipid syndrome is associated with membranous (her increasing proteinuria) but this could be lupus like al...

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One kidney biopsy and three pathological diagnoses ??? 1 day ago

I would appreciate your advice for this case. 82 y WF, with PAF (on apixaban ); OP with vertebral compression # (never treated); a sister with PAN ...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 1 day ago

“Prolonged bleeding associated with sodium thiosulfate...can't really find a mechanism.” Wouldn’t seem relevant clinically but “IF” it’s real, perh...

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RE: Advanced FSGS and treatment utility 1 day ago

In my opinion, this patient needs a full exone sequencing genetic study prior to listing  for a kidney Allograft. ------------------------------ Ri...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 1 day ago

I see the reports of Prolonged bleeding Associated with sodium thiosulfate. But I was unaware of this beforehand and I can't really find a mechanis...

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RE: crescntric lupus nephritis in transplant kidney 1 day ago

ANA, complements, DSA ? , C4d on biopsy? What other Immunosuppressives is patient taking? --------------------------------- [Mark] [Lerman] [MD,FAS...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 1 day ago

Thank you Dr. Rodby for your reply. Patient is also diagnosed with DVT hence started by vascular surgeon with apixaban. Do you think it is safe to ...

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RE: Bowel prep in advanced CKD/ESRD patients 1 day ago

Is Septin test available in all labs , is it affordable? Is it covered by insurance? Very interesting. Thanks --------------------------------- Ibr...

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Mental health in chronic HD population 1 day ago

Hello dear friends,  I am running this investigation about "Chronic hemodialysis and psychopathological disorders in Quito-Ecuador" with these resu...

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RE: AstraZeneca Vaccine In HD Patient With HIT 1 day ago

I would say unsafe because the leading theory is that AZ vaccine thrombosis is mediated through antiplatelet factor 4. See here about the AZ and J&...

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RE: crescentic GN in a patient with colorectal cancer and capecitabine 1 day ago

" In July 2020 , he developed rapidly progressive renal dysfunction with nephrotic range proteinuria with urine PCR of 6060 mg/g and eGFR of 14." U...

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AstraZeneca Vaccine In HD Patient With HIT 1 day ago

After the last repot of EMA , find a link to a very rare cases of clotting and thrombocytopenia which has an immune mechanism like HIT . Is it safe...

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RE: Bowel prep in advanced CKD/ESRD patients 1 day ago

Primarily screening colonoscopies as part of kidney transplant evaluations.

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RE: Bowel prep in advanced CKD/ESRD patients 1 day ago

If this is a screening colonoscopy, then would the SEPT9 blood test be worth considering?  Might avoid the procedure and ancillary issues altogethe...

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Bowel prep in advanced CKD/ESRD patients 1 day ago

Dear colleagues, I have been informed by our GI group that there is national shortage of certain PEG-ELS based bowel preps for colonoscopy. They ar...

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RE: months of gross hematuria with IgA nephropathy? 1 day ago

Thanks for the update Jeff. ------------------------------ Ronald Hogg MBChB Kailua Kona HI (214) 893-5608 ------------------------------

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crescntric lupus nephritis in transplant kidney 1 day ago

I have a 30 years old male,post transplant patient , ABOc , 2015, donor mother, native kidney disese not known. present ed with creat 1.5--> 1.8-->...

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Apply by May 5 to serve as a 2021 Kidney Week case report reviewer 1 day ago

Hi all, ASN invites ASN Fellows-in-Training members to serve as reviewers for case reports submitted by trainees for Kidney Week 2021. The reviewin...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 1 day ago

Nevermind...looks like CALISTA was terminated on 19 May 2020.  Bummer. ------------------------------ Tejas Desai, MD Founder, NOD Analytics Charlo...

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RE: Use of Sodium Thiosulfate for Calcemic uremic arteriopathy with Apixaban 1 day ago

I think this is a good discussion to have:  which patients are predicted to benefit from sodium thiosulfate.  There are too many case reports that ...

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