RE: primary Membranous nephropathy and HBV infection 31 minutes ago

Thanks for the Reference. I cannot acess the full article. Did they assess "reactivation" of HBV by serial measurement of circulating HBV virions ?...

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RE: cystatin C gfr 39 minutes ago

The answers to your question can be found in the paper by Bukabao JB, et al. Kidney Int 2019; 95:1181-1190. The prognostic utility of eGFR Cystatin...

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RE: cystatin C gfr 1 hour ago

Recent studies showed combining eGFRcys-creat may have better prognostic value than eGFRcyst or eGFRcreat alone,is there any racial effect on eGFR ...

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RE: primary Membranous nephropathy and HBV infection 1 hour ago

Seems no urgency for therpay but would take opinion of GI. The following article may be of help. Low risk of hepatitis B virus reactivation in me...

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RE: primary Membranous nephropathy and HBV infection 1 hour ago

Appreciate your feedback Dr Glassock , Will watch for spontaneous remission and keep the community updated. ------------------------------ Abdal...

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RE: FSGS Tip Variant 2 hours ago

Dr Mohamad, patient wanted to know how effective Ritux would be when I offered it to him. This followed discussion that one would be more certain a...

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RE: primary Membranous nephropathy and HBV infection 3 hours ago

I think you have time to wait. Unfortunately, unlike HCV, it is very difficult to "cure" HBV with antiviral agents. The HBV can lurk in the liver i...

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RE: NELL-1 positive membranous 3 hours ago

I am not aware of any strong data linking amphetamines or cannabis abuse to NELL1 MN, but I suppose that anything is possible, especially illicit H...

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RE: primary Membranous nephropathy and HBV infection 3 hours ago

My only concern is that anti PLAR2R Ab level has been constantly above 200 ru/ml , otherwise kidney function is preserved and proteinuria < 4 g/24 ...

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RE: NELL-1 positive membranous 5 hours ago

She had been on Colchicine almost all her life. She stopped it few months ago. Her baseline serum creatinine in July was 1.0.She came in with abdom...

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RE: Pregnancy in Transplant patients with aHUs and on complement inhibitors 5 hours ago

Greetings Did she develop ESRD from an episode of aHUS prior to transplant? If so, that would worry me. That being said, people have used eculizu...

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RE: cystatin C gfr 6 hours ago

The "improvement" in outcome prediction for eGFR-Cystatin C over eGFR-creatinine very likely has little to do with GFR itself, but ratherc is due t...

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RE: cystatin C gfr 8 hours ago

Hi, I have no much experience with Cys based equations, but It's interesting what is mention in Kidney360 article about that in extremes situations...

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RE: FSGS Tip Variant 12 hours ago

Thank you Dr. Nauman and congratulation on getting this patient into remission, great job! wonder why you restarted the steroids instead of just gi...

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RE: Tip variant FSGS 14 hours ago

Very active maybe proteinuria will stabalize Has anyone had any luck with sglt2i and FSGS I haven't?I think they are less useful than ACEi/aRB bu...

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RE: Pregnancy in Transplant patients with aHUs and on complement inhibitors 15 hours ago

Does she have pathologenic genetic variant ؟؟ Some variants have high risk of relapse others are low risk If no variant detected relapse are minma...

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RE: Tip variant FSGS 15 hours ago

His mother may accept SGLT inhibitor --------------------------------- Alaa Nabih Abdalla nephrology fellow Egypt ------------------------------...

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RE: IgA With ANCA Positivity 17 hours ago

Total glomeruli: 41 Global sclerosis: 13 Segmental sclerosis: 7 --------------------------------- Kinjal Gosalia MD Dix Hills NY (516) 504-5279...

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RE: IgA With ANCA Positivity 17 hours ago

Albumin 3.9. No edema. So no nephrotic syndrome just nephrotic range proteinuria. BMI 39. It could be secondary FSGS from IgA or Obesity --------...

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RE: IgA With ANCA Positivity 17 hours ago

No hydrazine, allopurinol, PTU, methimazole, IVDU --------------------------------- Kinjal Gosalia MD Dix Hills NY (516) 504-5279 --------------...

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RE: IgA With ANCA Positivity 17 hours ago

SAlb level? How much edema? Is "50% glomerulosclerosis" global? How obese is she? If this is a primary podocytopathy would expect significant hypoa...

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RE: Tip variant FSGS 18 hours ago

"Very active fit kid." Some of the fluctuation in proteinuria may be the effect of heavy physical activity increasing it. ---------------------...

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RE: Tip variant FSGS 19 hours ago

Yes I would not treat now at what point would you treat? Nephrotic range probably too late but > 1gm albumin/cr and lower serum albumin thank...

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RE: Pregnancy in Transplant patients with aHUs and on complement inhibitors 19 hours ago

Not much experience with Eculizumab or Ravulizumab in Pregancey Several reports of their use in PNH and Pregnacy and PNH indicate tgat it may be sa...

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RE: IgA With ANCA Positivity 19 hours ago

I would treat with oral systemic prednisone just as you would with a primary Podocytopathy . I do not know what to make of the serology. Has the pa...

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RE: Tip variant FSGS 19 hours ago

With these findings I would just follow the patient with repeat values about every 3 months. ------------------------------ Richard Glassock MD,...

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RE: Tip variant FSGS 20 hours ago

Serum albumin is 4.4 and stable. UPCR 0.6, albumin/cr 338 mg/gm ------------------------------ Kevin Mitchell MD Nephrologist St. Luke?s Medical ...

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RE: IgA With ANCA Positivity 20 hours ago

Thank you Dr. Glassock. Thant’s a great point. I’ll wait for the EM. Would you do do pulse and prednisone or localized such as Tarpeyo? ---------...

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RE: primary Membranous nephropathy and HBV infection 21 hours ago

I would wait several moths after successful therapy of HBV with Entecavir . Follow anti-PLA2R antibody levels, there is a fairly good chance for a ...

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RE: Tip variant FSGS 21 hours ago

What is the serum albumin level? No indication for repeat kidney biopsy. You might want to consider RTX for relapsing steroid sensitive MCD/FSGS. ...

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RE: IgA With ANCA Positivity 22 hours ago

Do you have EM to further characterize the S1 lesion-e.g. - is a diffuse Podocytopathy present. If so, oral systemic steroids are indicted, in my o...

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RE: APOL-1 mediated kidney disease 22 hours ago

Amplitude Study by Vertex pharma. Multinational study. Sure they are recruiting in your area. ------------------------------ Anurag Tikaria MD, ...

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Pregnancy in Transplant patients with aHUs and on complement inhibitors 23 hours ago

Good Afternoon, I looking to hear some experiences any of you have had in transplant patients who have a dx of aHUS and want to become pregnant....

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IgA With ANCA Positivity 1 day ago

I have a 50-year-old male with past medical history of hypertension, obesity and prediabetes. Non smoker. Only on Lovaza and amlodipine as meds. Cr...

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RE: Tip variant FSGS 1 day ago

I did not mean to re biopsy but wait until >1gm to treat with CNI ------------------------------ Kevin Mitchell MD Nephrologist St. Luke?s Medica...

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RE: primary Membranous nephropathy and HBV infection 1 day ago

I would like to update regarding my patient with MN PLAR2Ab + ve and active HBV infectio . we started him on entecavir 2 months back and HBV DNA is...

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RE: Tip variant FSGS 1 day ago

I would be hesitant to biopsy to convince mother, nor do I think doing it at a relapse would impact management. What has worked for me (sometimes) ...

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RE: FSGS Tip Variant 1 day ago

This appeared in related content, so I thought to update community on outcome. Re-initiated Pred 1mg/kg to which he responded in 8 weeks, at which ...

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RE: candiduria after starting cephalexin while already on empagliflozin 25 mg qd for months 1 day ago

Her 2-year Kidney Failure Risk Equation score is 9%, her 5-year score is 25%. She has time on her side for risk of progression. I would consider ce...

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RE: Renal Biopsy Post Plex 1 day ago

We typically will use FFP for PLEX if the patient is undergoing a procedure or biopsy. Octoplas should be fine since it is used for acquired defici...

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RE: candiduria after starting cephalexin while already on empagliflozin 25 mg qd for months 1 day ago

Such "disrespect" (haha) for aldactone! Actually, there is a lot of clinical evidence that it reliably reduces both urine protein and BP in diabeti...

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RE: Anti Gbm Case 1 day ago

Hi prof what it they don’t have pulmonary symptoms or pulmonary haemorrhage . Can you treat in view of preventing occurrence of pulmonary haemorrha...

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Tip variant FSGS 1 day ago

18 Y M who I treated tip variant FSGS with a longer steroid taper at the age of 16. Previous biopsy showed no tubulointerstial fibrosis also withou...

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RE: candiduria after starting cephalexin while already on empagliflozin 25 mg qd for months 1 day ago

Does the rash occurred after antibiotic initiation? As I massively use finerenone in DKD patients and didn’t encountered this AE. I have a practic...

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RE: candiduria after starting cephalexin while already on empagliflozin 25 mg qd for months 1 day ago

Good point! If no harms are done why not give it a try. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 -...

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RE: Anti Gbm Case 1 day ago

If a patient with anti-GBM disease has 100% glomerular crescent, oliguria and dialysis dependence, we still treat with PLEX if DAH is present and a...

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RE: candiduria after starting cephalexin while already on empagliflozin 25 mg qd for months 1 day ago

@Richard Glassock You have me there at spironolactone. There is no good clinical evidence only experimental evidence that it would be useful in ...

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RE: Anti Gbm Case 1 day ago

C3 normal. Will send echo , blood cultures , cryo and repeat ds dna, Ana. Not behaving in septic manner tho. If patient has anti gbm with renal ...

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RE: KFRE 1 day ago

Thanks prof glassock --------------------------------- Muhammad Soobadar MBChB UK ---------------------------------

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RE: Renal Biopsy Post Plex 1 day ago

Thanks prof --------------------------------- Muhammad Soobadar MBChB UK ---------------------------------

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