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 1 (May 2024): Pediatric Kidney Disease is now available online.
RE: A Case Of GN In Hepatitis C Positive Patient 2 hours ago
I agree with Dr. Rodby. The HCV infection may be co-incidental rather than causal in this case of pauci -Immune necrotizing and crescentic GN. I wo...
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RE: A Case Of GN In Hepatitis C Positive Patient 3 hours ago
No signs of cirrhotic liver disease on CT, T.Bilirubin 1.0, AST and ALT less than 30 each Pt is active smoker , with occasional alcohol consumption...
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RE: A Case Of GN In Hepatitis C Positive Patient 4 hours ago
LFTs and does liver appear cirrhotic on CT? As already stated by Dr. Rodby, in HCV-related (usually cryoglobulinemic) RPGN, immunosuppression +/- P...
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RE: Transplant Question 6 hours ago
Thanks a lot Bw --------------------------------- Muhammad Soobadar MBChB UK ---------------------------------
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RE: Binder 6 hours ago
Interesting discussion of a common problem, two tangential points: 1) P binders given optimally, that is, every time a patient eats, and pretty m...
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RE: Binder 7 hours ago
@Stuart Sprague I wonder if XPhozah might be a better way to go, more continuous PO4 absorption blockade. Diarrhea may be limiting. @Mario ...
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RE: Binder 9 hours ago
For pediatric patients on continuous feeds, CKD,, and need.for.lower.phosphoris intake, we have protocols and recipes for decanting the formula wit...
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RE: A Case Of GN In Hepatitis C Positive Patient 9 hours ago
I was expecting a hepatitis C related lesion (Cryo typically) but that is not supported by the pathology and I suspect this is AAV with pauci immun...
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A Case Of GN In Hepatitis C Positive Patient 10 hours ago
Dear colleagues I appreciate your input A 71 Y/o man active smoker with no significant PMHx, transferred to my care after recent hospitalization ...
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RE: Transplant Question 11 hours ago
Current data suggest that HIF-PHIs are generally well-tolerated in kidney transplant recipients. No significant increase in graft rejection rates h...
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Transplant Question 14 hours ago
1/ can we use HIF inhibitors in transplant patients 2/ can we use glp agonist in transplant patients Thanks
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RE: Double positive ANCA MPO and GBM rapid progressive renal failure 15 hours ago
We will make the biopsy soon. ------------------------------ Liliana Cunha Hospital Prof. Dr. Fernando Fonseca Amadora --------------------------...
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RE: Adjunctive acetazolamide therapy for the treatment of Bartter syndrome 20 hours ago
No NSAID --------------------------------- Mohamed Mahmoud MBBS NEPHROLOGIST MOH Egypt 00965 51377736 ---------------------------------
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RE: Binder 20 hours ago
With continuous tube feeding regimens in dialysis patients , hyperphosphatemia seems to be less common, but if it occurs, then phosphate binders ne...
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RE: Binder 22 hours ago
You should be able to control P by choice of a liquid tube feeding that is nutritionally adequate but that is low in P content. I think that concom...
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RE: Binder 22 hours ago
Thank you for your response. I am wondering if the binders have any impact with continuous feed since it's not a big bolus of food. ------------...
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RE: AKI and low C3 22 hours ago
Low hepatic synthesis rate of C3/C4 is postulated to explain the mild decrease in serum levels of C3/C4 seen in patients with severe Chronic or acu...
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RE: Renal Function in 55 yo male 22 hours ago
Cimetidine use will not lead to an increase in urinary creatinine excretion rate, as seen in this case. ------------------------------ Richard G...
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RE: KDIGO 2024 CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF AAV 22 hours ago
It is never advisable to perform kidney transplantation when serum anti-GBM antiboies are still elevated. A delay in transplantation for at least 6...
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RE: Binder 22 hours ago
In patients with ESKD on dialysis salivary phosphate excretion is greatly increases and when saliva is swallowed, this adds to the burden of phosph...
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RE: KDIGO 2024 CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF AAV 23 hours ago
“I would use dialysis requirement AND 100% crescents (zero normal glomeruli) AND oliguria AND absence of diffuse alveolar hemorrhage “- If patient...
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RE: Renal Function in 55 yo male 23 hours ago
Slight up and down fluctuation in SCr with normal cystatin C (assuming SCr and cystatin C were done simultaneously/were these two tests done at the...
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Binder 23 hours ago
Can phosphorus binders be effectively used with continuous tube feed? ------------------------------ Parvaneh Abtahi MD, FASN Nephrologist Readi...
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RE: Adjunctive acetazolamide therapy for the treatment of Bartter syndrome 1 day ago
Is this patient on a NSAID? ------------------------------ K.K. Venkat MD Troy MI (248) 420 7798 ------------------------------
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RE: AKI and low C3 1 day ago
Patient with liver disease have low c3. Is there a reason for that ? Bw --------------------------------- Muhammad Soobadar MBChB UK ------------...
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RE: Double positive ANCA MPO and GBM rapid progressive renal failure 1 day ago
Dr. Cunha- you did not mention a kidney biopsy. Was one ever done? . In cases like this I am not sure how much a kidney biopsy really helps with tr...
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RE: Adjunctive acetazolamide therapy for the treatment of Bartter syndrome 1 day ago
Agree, but if it's a male, those doses are likely to cause gynecomastia. For a male in this situation, I would go right to eplerenone at 50-100 mg,...
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RE: Double positive ANCA MPO and GBM rapid progressive renal failure 1 day ago
It is a bit unusual to see a an anti-GBM rebound after 14 PEX sessions, but I agree with Dr. rodby.. Don't give up. Ivwooukd taper steroids and sto...
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RE: Adjunctive acetazolamide therapy for the treatment of Bartter syndrome 1 day ago
You have a lot of room to increase the aldactone From UpTODate "Spironolactone may be started at 100 mg daily and is often titrated, as needed,...
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RE: Adjunctive acetazolamide therapy for the treatment of Bartter syndrome 1 day ago
20 yr,cr 130,ur 4,cl 90, k 2.5,HCO3 50,Na 130 Euvolemic He is on aldctone 25 mg of,Sando K 2 tab td BP 110/70 This patient has repeated admission...
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RE: Double positive ANCA MPO and GBM rapid progressive renal failure 1 day ago
Double positive has a better renal prognosis, but that may be because the vasculitis component may make the disease show up earlier. It also has...
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Double positive ANCA MPO and GBM rapid progressive renal failure 1 day ago
Hello, I really appreciate your help with this case. This is a 62 years old female patient with previous hipertension. she was admitted with...
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RE: Renal Function in 55 yo male 1 day ago
One other test you can do is maximal urinary concentrating ability after fluid withdrawal for 12 hours. If normal for age, TI Disease is unlikely. ...
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RE: Renal Function in 55 yo male 1 day ago
I do not think that this patient has kidney disease. The calculated 24 hr. Creatinine excretion is very high (30m/kg/d) which may mean an over coll...
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RE: "prpphylactic pre op HD in a PCKD patoent with egfr 12-16 1 day ago
Roger is asking for opinions & therefore here's IMO: our renal group works with one of the largest cardiac practices in the midwest & we have 5 CT ...
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RE: Renal Function in 55 yo male 1 day ago
With a normal Cystatin C and urinalysis That should indicate no renal disease. But usually these patients are fairly muscular. Still, I am not c...
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Renal Function in 55 yo male 1 day ago
Good evening everyone, I have a 55-year-old Caucasian male. Roughly 6'2 tall. Weighs around 80+ kilograms. Otherwise well with no significant ...
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RE: Adjunctive acetazolamide therapy for the treatment of Bartter syndrome 1 day ago
I am curious, have you tried K sparing diuretics? They should increase the K AND decrease the HCO3. ------------------------------ Roger Rodby M...
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RE: Whether to biopsy for MGRS evaluation here? 1 day ago
with a "Creatinine 1.6 today and been 1.4-1.6 since October, 2023" i find it hard to believe he does not have CKD. The Albumin to creatinine rat...
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RE: "prpphylactic pre op HD in a PCKD patoent with egfr 12-16 1 day ago
It is a very limited literature, not compelling but some CV surgeons hang their hat on improved CV outcome if HD is done before CV surgery in a pat...
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RE: Adjunctive acetazolamide therapy for the treatment of Bartter syndrome 1 day ago
Agree with Dr. Mohamed that Acetazolamide may worsen hypokalemia in this patient. Acetazolamide was used for treatment of metabolic alkalosis and r...
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RE: Adjunctive acetazolamide therapy for the treatment of Bartter syndrome 1 day ago
The problem with Acetazolamide in this setting is worsening hypokalemia and further volume depletion. ------------------------------ M.N. Alhosa...
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RE: GN Case ( Anti-GBM With MAHA) 1 day ago
His SPEP /IF , UPEP and serum free light chain negative for monoclonal gamapathy. He had bone marrow biopsy at outside facility show no monoclonal ...
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RE: "prpphylactic pre op HD in a PCKD patoent with egfr 12-16 1 day ago
This issue has been extensively discussed on the Open Forum previously. The consensus is that prophylactic hemodialysis is not indicated in such a ...
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RE: GN Case ( Anti-GBM With MAHA) 1 day ago
Very strange case. I suppose that ANCA have been negative throughout the illness. Also no Diffuse Alveolar Hemorrhage ever documented The MAHA with...
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GN Case ( Anti-GBM With MAHA) 1 day ago
29-year-old male with history of - type 1 diabetes diagnosed at the age of 19 with a diabetic retinopathy - CKD baseline creatinine of 1.2 in Jan...
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"prpphylactic pre op HD in a PCKD patoent with egfr 12-16 1 day ago
I have a 48 y/o male with pckd and a gfr averaging around 15 who needs a mini mitral valve replacement surgery for mitral valve prolapse with regur...
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RE: Adjunctive acetazolamide therapy for the treatment of Bartter syndrome 1 day ago
Experience with Acetazolamide therapy for metabolic alkalosis in Bartter Syndrome is limited in adults. What are the long term benefits and risks? ...
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RE: Whether to biopsy for MGRS evaluation here? 2 days ago
Serum FLC is normal? What is the UPCR? With an eGFR of 47ml/min/1.73m2 and a normal UA and UACR he probably does not have CKD. - merely a reduced G...
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RE: Membranous nephropathy 2 days ago
If PLA2R Ab titter is still high, the assumption that Rituxan has failed and the explanation is the development of anti-rituxan antibodies and this...
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