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 2 (Jun 2024): Electrolytes and Acid-Base Disorders is now available online.
Transplant Question 2 hours ago
In patient with high haematocrit post transplant apart from venesection and ace inhibitors anything else? I have a patient who cannot take ramipril...
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RE: segmental thin basement with gross hematuria 2 hours ago
no pain with hematuria --------------------------------- Shivangi Patel Nephrology Morristown NJ ---------------------------------
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RE: lupus pt with multiorgan involvement 2 hours ago
dorect coombs has been negative 7/25, 7/20, and 7/13 and 7/4 was positive 6/20, 6/21, and 5/29 plt - 59k today 100 plt from 7/18 144 on 7/15 bef...
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RE: Aspirin in CKD 4 hours ago
Thanks Dr. Aledan., I agree that regular low dose ASA is not indicated for Prinary prevention of CVD in patients with established CKD, whether such...
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RE: Aspirin in CKD 5 hours ago
Interesting topic. Although this review is not in CKD patients but it showed that use of ASA has no benefit in primary prevention and less effecti...
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RE: lupus pt with multiorgan involvement 5 hours ago
What has been the course of platelet counts. What is the result of Coombs test? ------------------------------ Richard Glassock MD, FASN Laguna W...
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RE: Gross hematuria with normal renal biopsy 5 hours ago
Hard to make a firm diagnosis of IgAN with only trace glomerular IgA, negative C3, IgG, kappa and lambda LC and “rare” mesangial ED deposits by EM....
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RE: segmental thin basement with gross hematuria 7 hours ago
Well, there was no negative or positive history of loin pain, maybe it needs to be questioned! :) ------------------------------ Viswanathan Iyer...
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RE: Gross hematuria with normal renal biopsy 7 hours ago
hematuria and proteinuria, former is gross very mild IgA on IF rare mesangial deposit. I think I have to call this IgAN. I suppose there ar...
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RE: lupus pt with multiorgan involvement 7 hours ago
yes rheum controlling steroids cath on hold, doing plex and biopsy on monday to see if tma and c3 low agree on what both of your saying i am alwa...
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Gross hematuria with normal renal biopsy 7 hours ago
39-year-old female without any previous medical history presented with gross hematuria for the last 3-4 weeks. She noticed dark-colored urine, redd...
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RE: segmental thin basement with gross hematuria 8 hours ago
loin pain hematuria syndrome without loin pain? :) ------------------------------ Roger Rodby MD, FASN Professor of Medicine Rush Universit...
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RE: segmental thin basement with gross hematuria 9 hours ago
With negative kidney biopsy results- could this be Loin pain -hematuria syndrome? ------------------------------ Viswanathan Iyer MD,FACP,FASN Ha...
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RE: Severe neutropenia following rituximab 10 hours ago
This is fairly early and quite severe for RTX related late-onset neutropenia. . Trimethoprim. needs to be considered as a culprit. Has the patient ...
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RE: lupus pt with multiorgan involvement 11 hours ago
He has already gotten Cytoxan and rituximab either it is not working or too early, but his hemolysis continues, and is not minor by Hgb. ...
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RE: Severe neutropenia following rituximab 11 hours ago
I have seen it , fortunately rare, takes a while to resolve. That is very low ANC, GCSF may be indicated? I would curbside/consult ID and hem...
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RE: segmental thin basement with gross hematuria 11 hours ago
at 80 and a creatinine of 0.57 I think she will be fine regardless of the diagnosis if nephrologic. Your pathologist may be able to stain for alp...
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Severe neutropenia following rituximab 11 hours ago
Questions: 1. How commonly and how early is severe neutropenia encountered after rituximab? (I do not think that recently added mycophenolate sodiu...
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RE: ANCA.... or C3GN? 20 hours ago
Bringing this case back to the surface. This patient was treated as an MPO-AAV - received 2x1g Ritux & steroid taper. Had a lot of trouble with f...
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RE: lupus pt with multiorgan involvement 21 hours ago
Please check and be sure that this patient was not taking hydralazine or abusing cocaine when he first presented with SLE + Vasculitis ----------...
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RE: lupus pt with multiorgan involvement 1 day ago
Very complex case. Can you post the deidentified original kidney biopsy report.? I am very unclear about the hemolysis- Coombs positive or negative...
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RE: segmental thin basement with gross hematuria 1 day ago
Would it be possible for you to post a de-identified version of the kidney biopsy report?. Is the gross hematuria painless? Any family history of h...
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segmental thin basement with gross hematuria 1 day ago
Hi this is so random, but have 80 yo female who presented with gross hematuria since 8/2023, seen 5 different urology with cysto and scopes- and ...
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lupus pt with multiorgan involvement 1 day ago
51 yo aa male with cr 2.3 in 3/2024 routine outpt labs first admission: presented in 5/29/2024- with foamy urine cr 7.09 prot/cr 4.2 grams. an...
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RE: Diabetic nephropathy with mesangial immune deposits containing IgG and C1q. 2 days ago
Thank you Dr. Rodby, Dr. Glassock, Dr. Campese for your very helpful suggestions. ------------------------------ Balaji Srinivasan MD Gundersen ...
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RE: lupus tubulopathy 2 days ago
Thank you for your replies. this is exactly what raise my suspicion, urine Sodium was very low despite being Alkalotic with urine PH of 7.5 and exp...
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RE: lupus tubulopathy 2 days ago
A few questions/observations? Do you believe she has SLE? I have heard of dRTA with lupus but not a Bartter's syndrome. A reference would be appr...
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RE: Diabetic nephropathy with mesangial immune deposits containing IgG and C1q. 2 days ago
I continue to see too many patients with hypertension treated with hydralazine, while, at the same time, treated with CCBs. This practice should ...
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RE: lupus tubulopathy 2 days ago
The urine chloride is pretty low for Bartter Syndrome. Please look for surreptitious vomiting or intermittent diuretic abuse. -------------------...
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RE: lupus tubulopathy 2 days ago
Thanks. With no proteinuria or hematuria.it would be difficult justify steroids or IS agents at this point in the evaluation despite the serology. ...
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RE: lupus tubulopathy 2 days ago
Actually, it was a consistent finding therefor they referred her for further assessment ------------------------------ Wael Jebur MD, FASN drwae...
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RE: Diabetic nephropathy with mesangial immune deposits containing IgG and C1q. 3 days ago
I agree with Dr. Rodby. This is most likely DN with a superimposed ICGN related to hydralazine induced "Lupus". I would stop Hydralazine and observ...
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RE: lupus tubulopathy 3 days ago
Could be acquired Bartter syndrome or possibly surreptitious vomiting. Needs several urine chloride excretion measurements . A urine calcium excret...
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RE: Diabetic nephropathy with mesangial immune deposits containing IgG and C1q. 3 days ago
He has serologic abnormalities, he has Glomerular abnormalities with a mild immune complex GN He seems to have underlying diabetic nephropathy...
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RE: hypocomplementemia in C3GN 3 days ago
Thank you all for your replies . Was thoughtful and quite helpful discussion --------------------------------- Wael Jebur MD, FASN drwaellatif@ho...
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Diabetic nephropathy with mesangial immune deposits containing IgG and C1q. 3 days ago
I am seeing a 64-year-old male with long standing history of type 2 diabetes. He is currently on Insulin, dulaglutide, glipizide and metformin. He ...
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RE: Opinion on Cystatin C eGFR and proBNP in acute settings 3 days ago
Thank you. This forum is very helpful, much appreciated. ------------------------------ Dr V Lachman Nephrologist South Africa ---------------...
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lupus tubulopathy 3 days ago
30 Year old lady was referred to me because of Hypokalemia. She has no past history of significance. Not hypertensive and not diabetic. on exam...
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RE: Opinion on Cystatin C eGFR and proBNP in acute settings 3 days ago
Dr. Lachlan. Many thanks for the follow-up. Very sorry about the outcome, but this was a very difficult management problem,. I am sure that you did...
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RE: Potential donor with family history of PKD 3 days ago
Dr. Glassock, the short answer is yes. The sensitivity of CT abdomen with contrast is relatively equivalent to MRI of the abdomen (irrespective ...
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RE: Opinion on Cystatin C eGFR and proBNP in acute settings 3 days ago
Thank you for your replies. He was consulting with another nephrologist, I traced old results from 2 years ago when his baseline creat was 220 to...
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RE: Potential donor with family history of PKD 3 days ago
Dr. Chebib. Many thanks for sharing your opinion. Can one presume that NPV of MRI is equivalent to that of Contrast CT in the 15-39 year old old ag...
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RE: Potential donor with family history of PKD 3 days ago
Thank you for sharing this interesting case. The NPV of renal ultrasound for individuals at risk of ADPKD (PKD1/PKD2) for age group 30-39 is 98.3...
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Aspirin in CKD 3 days ago
An interesting exchange recently appeared on X concerning Aspirin use in CKD. The CRIC study in 2022 failed to show any benefits of Aspirin use for...
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RE: defibrotide in TMA Monday, July 22 @ 7:13 PM
I wonder if high level DSA contributing to the TMA and/or its persistence/resistance to therapy. It may be worth trying Imlifidase, which l think i...
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RE: defibrotide in TMA Monday, July 22 @ 4:27 PM
Jul 21, 2024 6:18 PM Katafan Achkar It is not clear to me from the case description, when high level DSAs were detected and their...
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RE: CMV in renal transplant Monday, July 22 @ 12:06 PM
To get back to the original question, yes, CMVPCR should be done and if positive consistent , with significant viremia then antiviral treatment sho...
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RE: Potential donor with family history of PKD Monday, July 22 @ 11:41 AM
Older Individuals (>30-40 years): MRI is preferred for individuals over 30-40 years of age or when ultrasound results are inconclusive. MRI provide...
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RE: CMV in renal transplant Monday, July 22 @ 11:29 AM
I agree - recurrent episodes of diarrhea with an onset 6 years after transplantation does not fit easily into the realm of drug-induced diarrhea, b...
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RE: defibrotide in TMA Monday, July 22 @ 11:15 AM
We may think of antiphospholipid syndrome.. MCP CD46 mutations Recurrence is Un common Plasminogen mutations have relapsing and remitting course a...
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