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 4 (Oct 2024): Chronic Kidney Disease is now available online.
post kidney transplant TMA 1 hour ago
I have a patient with unknown primary disease who underwent living related kidney transplant, with donor being the spouse. ABOi and as per standard...
View Discussion
RE: EuroLupus Protocol in patient with eGFR 20 4 hours ago
Hi Dr Glassock, I have not seen the NIH IV CYC being prescribed before. But I did note KDIGO guideline mentioned IV CYC 0.5-1mg/m2 monthly und...
View Discussion
RE: EuroLupus Protocol in patient with eGFR 20 5 hours ago
Thank you Dr Prajapati for your input / advice. ------------------------------ Siev Hong Lor PharmD Pharmacist Liverpool Hospital, NSW E: hong...
View Discussion
RE: IgA Nephropathy 5 hours ago
In our observational study of IgAN only about 14% of those with hematuria at BL did not have an M1 lesion by KB.See Bobart S, et al, NDT, 2019. -...
View Discussion
RE: IgA Nephropathy 6 hours ago
Thank you very much Dr Glassock. TBMN is an interesting option I did not think of. --------------------------------- Eithan Orlev-Shitrit MD MON...
View Discussion
RE: Diagnosis of ADPKD 9 hours ago
Since this patient very likely does not have ADPKD, then the Mayo Classification system is NOT applicable. Tolvaptan is not indicated. See Dr. Cheb...
View Discussion
RE: Diagnosis of ADPKD 12 hours ago
Thanks . Would mayo apply here ? Its seems atypical isn’t ? Not diffuse cystic nature in kidneys --------------------------------- Muhammad Soob...
View Discussion
RE: IgA Nephropathy 12 hours ago
I agree! - no good evidence to support use if TRF Budesonide in this case, . But if prescribed it would be 'on label" as the FDA does not specify a...
View Discussion
RE: IgA Nephropathy 16 hours ago
Thank you very much Dr Rodby ! Given the lack of improvement in hematuria / proteinuria and her age I was considering Budenoside with the main con...
View Discussion
RE: IgA Nephropathy 17 hours ago
Hematuria is now considered by some to be a predictor of poor outcome bc it is the sign of inflammation something not really dont see in this bi...
View Discussion
RE: Need advice on Membranous Nephropathy with Ext-2 19 hours ago
Thank you for prompt response. he doesn't have any autoimmune features, and extended antibody panels were negative. Biopsy didn't show diabetic f...
View Discussion
IgA Nephropathy 20 hours ago
I’m treating for the past 9 month a 33 y/F that presented to me with 2 years of Hematuria. K biopsy revealed: Diagnosis: IgA nephropathy LM: On...
View Discussion
RE: MCGN 20 hours ago
very odd that he is so steroid responsive yet did not respond to rituximab. Obi is a good idea as suggested by Dr Glassock, but if you cannot...
View Discussion
RE: Case of Interstitial Nephritis 20 hours ago
If it wasn’t for the hypotension (& negative serologies), I would have honed in on the pre-glomerular vasculopathy (rather than the interstitial ne...
View Discussion
RE: Need advice on Membranous Nephropathy with Ext-2 20 hours ago
not really nephrotic Exostocin MGN is supposed to have a better prognosis I generally think most MGNs regardless of the antibody should be tre...
View Discussion
RE: Need advice on Membranous Nephropathy with Ext-2 20 hours ago
EXTI/II MN is usually associated with lupus like auto.immune features, but this might be an exceptional case. The prognosis is usually favorable , ...
View Discussion
RE: Case of Interstitial Nephritis 20 hours ago
The striking features in this case are hypokalemia, intermittent hypercalcemia, low BP and vascular lesions (resembling " hypertensive" microangiop...
View Discussion
Need advice on Membranous Nephropathy with Ext-2 21 hours ago
I have a 63 year old male with diabetes (A1c 6.5), hypertension, OSA, CAD and obesity referred by his PCP for worsening proteinuria and worsen edem...
View Discussion
RE: Case of Interstitial Nephritis 23 hours ago
We had a case a year ago of a young patient with Cr of 5 on routine check (didn't take any meds), biopsied them, had chronic interstitial nephritis...
View Discussion
RE: MCGN 1 day ago
He seems to be a good candidate for Obinutuzumab. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 -------...
View Discussion
RE: Case of Interstitial Nephritis 1 day ago
Is metabolic alkalosis present. I would measure PRA and serum aldosterone. ------------------------------ Richard Glassock MD, FASN Laguna Woods ...
View Discussion
RE: 2nd Annual UME Educator Kidney Week Meetup 1 day ago
Thank you for the email. I do teach MS1 renal block. However, I am unable to attend ASN this year! Gurwant Kaur Penn State Get Outlook for iOS
View Discussion
RE: 2nd Annual UME Educator Kidney Week Meetup 1 day ago
Thank you. Will be there !! Kartik Kalra ------------------------------ Kartik Kalra MD, FASN Geisinger Health Danville PA (908) 583-4534 ----...
View Discussion
MCGN 1 day ago
I have a 22 year old morbidly obese patient who i saw originally in 2022 when he presented with a full blown nephrotic syndrome with a urine protei...
View Discussion
RE: Potential donor with probable BORSD 1 day ago
There is another concern of mother have low renal reserve from halpo-insufficiency of EYA1 leading to delay in nephrogenesis by depleting stem cell...
View Discussion
RE: Case of Interstitial Nephritis 1 day ago
do you have a simultaneous PCR to the ACR? looking for degree of tubular proteinuria What is his "race"? wondering about APOL1 but his LOW BP arg...
View Discussion
RE: Case of Interstitial Nephritis 1 day ago
It it might help if you could post a de-identified pathology report (including EM, if available. Thanks. ------------------------------ Richard...
View Discussion
Case of Interstitial Nephritis 1 day ago
I'm looking for some advice regarding management a 19 yo male with CKD and biopsy showing interstitial nephritis and vascular changes. He initial...
View Discussion
RE: Interference with 1,25 OH D Assay 2 days ago
Hyperthyroidism؟؟ anti acids ..calcium tab .lithium --------------------------------- Alaa Nabih Abdalla nephrology fellow Egypt ----------------...
View Discussion
RE: Potential donor with probable BORSD 2 days ago
I see what you mean - that is effectively a "split volume". One of the challenges evaluating live donors is that we have many things we can measu...
View Discussion
RE: Potential donor with probable BORSD 2 days ago
The most commonly used method (ellipsoid) for determining kidney volume is length(average of sagittal snd coronal views ) in cm X width in cm x dep...
View Discussion
RE: Potential donor with probable BORSD 2 days ago
We use volume calculated from the CTA of the abdomen and pelvis. Calculation is done using a special software. ------------------------------ Kat...
View Discussion
RE: Potential donor with probable BORSD 2 days ago
What formula do you use for calculating kidney volume from CT or MRI. I believe that calculating kidney volume from US is not very accurate ----...
View Discussion
RE: Potential donor with probable BORSD 2 days ago
Our practice is calculate the contribution of each kidney to the total volume/GFR 132 + 158 =290 132/290= 45.5% 158/290= 54.5% difference of 9%...
View Discussion
RE: Potential donor with probable BORSD 2 days ago
Dr Achkar, I agree that "routine" split function may be too often. However, the volume difference here is 16%, so I think it is warranted in y...
View Discussion
RE: Potential donor with probable BORSD 2 days ago
Thank you Dr. Glassock and Dr. Roberts, our practice has been to do split function when measured GFR is [More]
View Discussion
RE: Potential donor with probable BORSD 2 days ago
Interesting comment about "routine" examination of split renal function (probably by radioactive nucleide scan). Is this also "routine" in the USA ...
View Discussion
RE: Potential donor with probable BORSD 2 days ago
We routinely assess split kidney function in kidney donors by radionuclide study. Given the size discrepancy you have described on CT (158 v 132c...
View Discussion
RE: Budenoside for IgA Nephropathy 2 days ago
Dr. Raducu- You raise an important point about the rising cost of care for IgAN. For the patients in the USA who have commercial health insurance...
View Discussion
RE: Nephrology salary 2 days ago
Instead of grief, I celebrate the renaissance of Nephrology both from the basic and applied scientific aspects of the discipline. I firmly believe ...
View Discussion
RE: Budenoside for IgA Nephropathy 2 days ago
What is opinion and practice of the community regarding MMF as long term immunosuppressive therapy in Ig A nephropathy i understand that the tria...
View Discussion
Artifician intelligence in vascular access 3 days ago
Dear experts Is there any AI based application or app anybody using to predict vascular access outcomes? IS there any trial or project proposed? ...
View Discussion
RE: Nephrology salary 3 days ago
Dr. Qayum As you may know, Medicare cut down Nephrology service related reimbursement sometime in 2011-2012. It's been over a decade but Nephrolo...
View Discussion
RE: Budenoside for IgA Nephropathy 3 days ago
The IGNAZ trial (Felzartamab-antiCD38 MoAb is still ongoing in multiple countries and the Phase 2 results look highly promising. Not yet approved b...
View Discussion
RE: Interference with 1,25 OH D Assay 3 days ago
In the absence of all the factors mentioned in this thread, please look in to what patient has been eating or drinking. Any local tea or coffee wit...
View Discussion
RE: Potential donor with probable BORSD 3 days ago
You are very likely correct that the mother (potential donor) is an obligate heterozygote for the EYA1 gene (autosomal dominant with varying phenot...
View Discussion
RE: Budenoside for IgA Nephropathy 3 days ago
Depends on the disease activity. Using anti-CD38 would be a good option to reduce IgA production. ------------------------------ Ashraf El-Mea...
View Discussion
RE: Post operative Kidney transplant care 3 days ago
Yes, transplant surgeons do give a lot of IV fluids intraoperatively and in the first few post-transplant days - 2 to 3 liters in the OR and severa...
View Discussion
RE: Do people born with familial renal glucosuria (mutations of SGLT2) experience the same benefits as patients who receive SGLT2 inhibitors later in life 3 days ago
Dr. Chanda: The following article is relevant to the question you have raised: Familial Renal Glucosuria and Potential Pharmacogenetic Impact on ...
View Discussion
Potential donor with probable BORSD 3 days ago
I would like to get the ASN community input on the following potential kidney donor: 39-year-old LAF with no significant PMH except for sensorineu...
View Discussion