ASN represents more than 21,000 kidney health professionals working to help people with kidney diseases and their families. Created with input from all of ASN's constituencies, the new ASN logo allows the society to continue our growth and work toward a goal of a world without kidney diseases.
The latest Nephrology Self-Assessment Program (nephSAP) issue, Volume 21: Issue 5 (Dec 2022): Primary and Secondary Glomerular Diseases is now available online.
RE: Bile nephrosis with normal creatinine 20 minutes ago
A while ago , I saw a patient with a normal serum creatinine, oliguria and a serum Total Bilirubin of >40mg /dL due to fulminant Acute Hepatitis A....
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RE: Canine hyponatremia, proteinuria and some urine clearance calculations 26 minutes ago
I think the core of this case is the presence of Nephrotic syndrome and blindness. Would do a kidney biopsy (with IF and EM) and / or genetic testi...
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RE: Canine hyponatremia, proteinuria and some urine clearance calculations 41 minutes ago
electrolyte free water clearance is more correct than solute free water clearances and in one study of normal subjects was positive until urinary o...
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RE: Canine hyponatremia, proteinuria and some urine clearance calculations 1 hour ago
Twitter question: "Consult on 9 yr dog with 2yrs of neuro signs and 2 months of hypoNa. UNa 45 UK 42 Uosm 322, UPC 5.4. PNa 128 POsm 268. Was asked...
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RE: IgA nephropathy with ANCA vasulitis 1 hour ago
Is this patient a diabetic as small number of crescents can be present in diabetic. Which has no prognostic value --------------------------------...
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Canine hyponatremia, proteinuria and some urine clearance calculations 1 hour ago
Hello everyone, Would appreciate any thoughts you may have on this consult. I haven't seen the patient, but this was the information sent to me: ...
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RE: IgA nephropathy with ANCA vasulitis 1 hour ago
Lots of chronicity , but a relatively small sample. Clearly long standing IgAN. Does the urine sediment contains RBC casts and acanthocytes? What i...
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RE: IgA nephropathy with ANCA vasulitis 3 hours ago
"B/G of obesity, Asthma, Gout, HTN." Dr. Rodby: I agree with you that it is difficult to decide whether ANCA-associated crescentic GN is a pathog...
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RE: Bile nephrosis with normal creatinine 4 hours ago
I'm curious as to the indication for dialysis. While various albumin based forms of dialysis (MARS, SPAD) or a system like PROMETEUS can remove bil...
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RE: IgA nephropathy with ANCA vasulitis 5 hours ago
Please repost with the patient's name blocked, we can still see it in several places. I would be careful not to make a treatment decision base...
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RE: IgA nephropathy with ANCA vasulitis 7 hours ago
Has mild AKI (eGFR 50 ml) resolved? Did he have gross hematuria? UPr trend? ------------------------------ K.K. Venkat MD Troy MI (248) 420 7798 ...
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IgA nephropathy with ANCA vasulitis 10 hours ago
54 year old presented with mild AKI (eGFR dropped to 50 from a baseline > 90). B/G of obesity, Asthma, Gout, HTN. work up because of active urine...
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RE: Bile nephrosis with normal creatinine 1 day ago
My apologies to Juan Carlos. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 ------------------------------
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RE: Bile nephrosis with normal creatinine 1 day ago
Patients such as yours can have many etiologies of AKI, Hepatorenal syndrome, ATN, and the vague condition of bile cast nephropathy , a diagnosis s...
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RE: Renal Biopsy In Lupus Nephritis With Thrombocytopenia 1 day ago
Cylophosphamid given after PRES finding by imaging --------------------------------- Mohamed Mahmoud MBBS NEPHROLOGIST MOH KUWAIT 00965 513777...
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RE: Renal Biopsy In Lupus Nephritis With Thrombocytopenia 1 day ago
Does anyone think that the cyclophosphamide given could be a cause of PRES? Not sure how you would be able to tell. -----------------------------...
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RE: Bile nephrosis with normal creatinine 1 day ago
Juan Carlos Velez (Ochsner Clinic) is one of the world's experts on BCN. ------------------------------ John Schwartz MD Dallas Nephrology Assoc...
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RE: Renal Biopsy In Lupus Nephritis With Thrombocytopenia 1 day ago
Since you have started cyclophosphamide, mycophenolate can be stopped. I assume WBC count is also improving (without filgrastim). Since platelet co...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 1 day ago
Yes ,till now the question is not answered. We need more studies on large number if patients for long periods --------------------------------- N...
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RE: Treatment Of Anti Gbm And Anca Disease 1 day ago
With such a very high anti-GBM level, I think I would add PLEX, at least until the findings on kidney biopsy are available (% normal glomeruli). If...
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RE: Treatment Of Anti Gbm And Anca Disease 1 day ago
Pulsed --------------------------------- Muhammad Soobadar MBChB UK ---------------------------------
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RE: Treatment Of Anti Gbm And Anca Disease 1 day ago
Hi the team have pushed him and given him cyclophosphamide but no plex due to Anuria. He will have rituximab too . Has tunelled line over weekend ...
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RE: Bile nephrosis with normal creatinine 1 day ago
Bile cast Nephropathy, cholemic nephrosis, bile nephrosis and Icteric Nephropathy are different names for same, typically underdiagnosed entity wit...
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Bile nephrosis with normal creatinine 1 day ago
A 53-year-old female with a past medical history significant for GERD, hypertension, alcohol abuse, and gastric bypass presented with nausea, vomit...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 1 day ago
The question whether Belimumab (or RTX ) should or can be used to diminish the likelihood of a renal relapse in patients with Class IV LN in comple...
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RE: Should a potential living kidney donor with NAFLD/ NASH be accepted? 1 day ago
Dr Glassock makes the point '' that the physicians' responsibility is principally to the donor, not coequal with the recipient". I couldn't agree m...
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RE: Should a potential living kidney donor with NAFLD/ NASH be accepted? 1 day ago
I love this discussion!!!. A book could be written about the dilemmas of organ donation. The consideration of the donor and recipient as a single "...
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RE: Should a potential living kidney donor with NAFLD/ NASH be accepted? 1 day ago
Besides "First Do No Harm", another cornerstone of ethics governing living kidney donation is "Donation Without Coercion". It has been argued that ...
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RE: Cryoglobulin disease X dialysis interaction 1 day ago
There is this case report where CVVH filter repeatedly (pseudo-)clotted in pt with CG despite being plasmapheresed when RF wasn’t warmed but not wh...
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RE: Renal Biopsy In Lupus Nephritis With Thrombocytopenia 1 day ago
After patient developed fits Cyclophosphamide started Cr rising reached 700 , ur 31 He is anuric HD started HB 9 plat improved 140 Neck swelling i...
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RE: Cryoglobulin disease X dialysis interaction 1 day ago
Thanks Dr Rodby! I appreciate the input. Indeed I dialyzed IHD with IV heparin and did well. I tried to look in literature (quickly) about cryog...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 1 day ago
Ok thank you all 🌹i will continue lowest dose of prednisolone+ MMF + Hydroxychloroquine and follow up her Urinary sediments and Antids DNA and C3&...
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RE: Should a potential living kidney donor with NAFLD/ NASH be accepted? 2 days ago
I second Dr Rodby's endorsement of Dr Steiner's previous comments as "cogent". I might even up it to "eye-opening" (to me, for sure.) If I may para...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
A recent CPC in the NEJM (reference below) presents a case of lupus MN in whom proteinuria increased to 3.6 g/g who responded to addition of belimu...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
The patients initial Proteinuria was > 3 gms per day making her a poor candidate for add on Belimumab., according to the post-hoc analysis of the B...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
Sorry- I misread the initial biopsy as Class V not class IV. I agree with Dr. Venkat and Rodby - taper steroids and maintain Myfortic. No pressing ...
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RE: Should a potential living kidney donor with NAFLD/ NASH be accepted? 2 days ago
I also believe the ethical "Do no harm" concept for donors in flawed from the get go as was pointed out by @Robert Steiner in https://community....
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RE: Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
I think Dr Glassock misread the Class as V when he asked for exostosin which only applies to ClassV I believe. Benlystsa was approved for lupus n...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
Less than 3 months since biopsy. Complements still lower end of normal/slightly low. Proteinuria improved. Need urine sediment and anti-DS DNA anti...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
This Study supports use of Belimumab --------------------------------- Nada Ezzat MD Al Jahra Hospital Al Jahra -------------------------------...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
Her Labs from admission till First visit in OPD --------------------------------- Nada Ezzat MD Al Jahra Hospital Al Jahra ---------------------...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
EXT I/II Abs are not available in Kuwait --------------------------------- Nada Ezzat MD Al Jahra Hospital Al Jahra ---------------------------...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
Biopsy Jan 2023 GROSS DESCRIPTION Received in formalin, labelled "RENAL BIOPSY" consists of 2 cores measuring 1.2cm and 1cm. All taken into 1 casse...
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RE: Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
Great Question!! I hope you get lots of responses (all opinions, as this is an "'evidence -free zone.".) It would be nice to know if she has EXTI/I...
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Belimumab Vs Retuximab In Lupus Nephritis 2 days ago
I have 14 years old girl with LN class IV recently diagnosed and she is now in complete remission. Rheumatologist want to give her retuximab but i ...
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RE: Should a potential living kidney donor with NAFLD/ NASH be accepted? 2 days ago
The "perfect" health concept for living donor eligibility is a fading concept, but we still do not know where to draw the line when a donor has som...
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RE: FSGS - Would you treat or not ? Primary vs FSGS 2 days ago
What is the BP of patient? If systolic above 120 RAASi in maximal tolerated dose (titration)+ SGLT2i would be as choice (DAPA-CKD, EMPA-Kidney stud...
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RE: Should a potential living kidney donor with NAFLD/ NASH be accepted? 3 days ago
I agree that if this is "just" NASH then a transplant could proceed, but first he needs a thorough evaluation for causes of his chronic liver disea...
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RE: Should a potential living kidney donor with NAFLD/ NASH be accepted? 3 days ago
I shared this post with a hepatologist colleague. He said that this potential donor deserves comprehensive blood tests (as already suggested by Dr....
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RE: Treatment Of Anti Gbm And Anca Disease 3 days ago
I will do the same (pulse + PLEX) and biopsy on Monday if infection is under control. How many days since admission? Thanks --------------...
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