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.
RE: Budenoside for IgA Nephropathy 1 hour 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...
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RE: Nephrology salary 2 hours ago
Instead of grief, I celebrate the renaissance of Nephrology both from the basic and applied scientific aspects of the discipline. I firmly believe ...
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RE: Budenoside for IgA Nephropathy 2 hours 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...
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Artifician intelligence in vascular access 9 hours 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? ...
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RE: Nephrology salary 13 hours 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...
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RE: Budenoside for IgA Nephropathy 13 hours 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...
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RE: Interference with 1,25 OH D Assay 14 hours 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...
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RE: Potential donor with probable BORSD 14 hours ago
You are very likely correct that the mother (potential donor) is an obligate heterozygote for the EYA1 gene (autosomal dominant with varying phenot...
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RE: Budenoside for IgA Nephropathy 16 hours ago
Depends on the disease activity. Using anti-CD38 would be a good option to reduce IgA production. ------------------------------ Ashraf El-Mea...
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RE: Post operative Kidney transplant care 19 hours 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...
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RE: Do people born with familial renal glucosuria (mutations of SGLT2) experience the same benefits as patients who receive SGLT2 inhibitors later in life 19 hours ago
Dr. Chanda: The following article is relevant to the question you have raised: Familial Renal Glucosuria and Potential Pharmacogenetic Impact on ...
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Potential donor with probable BORSD 19 hours 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...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 21 hours ago
I agree . Since you have a very good explanation for profound iron deficiency, and DAH is unlikely, the possibility that this is anti-GBM disease i...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 21 hours ago
Thanks Drs Glassock Venkat Abdalla Aledan Severe iron deficiency was attributed to menstrual blood losses - sometimes prolonged bleedings - fo...
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RE: Do people born with familial renal glucosuria (mutations of SGLT2) experience the same benefits as patients who receive SGLT2 inhibitors later in life 22 hours ago
Considerable heterogeneity exists in terms of phenotype-genotype correlations in hereditary renal glycosuria so is quite a spectrum of disorders . ...
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RE: Do people born with familial renal glucosuria (mutations of SGLT2) experience the same benefits as patients who receive SGLT2 inhibitors later in life 22 hours ago
Here is a worthless response too your answer: I have wondered that so many times. If you have CKD and renal glycosuria will your CKD progress le...
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RE: Post operative Kidney transplant care 22 hours ago
I have seen this too, Post-transplant you can have (welcomed) a huge diuresis which is a combination of Na and water retained in ESRD (we are ve...
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RE: Post operative Kidney transplant care 1 day ago
A modest osmotic (urea) diuresis with polyuria is expected for the first few days after successful kidney transplant. It can be perpetuated (inappr...
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Do people born with familial renal glucosuria (mutations of SGLT2) experience the same benefits as patients who receive SGLT2 inhibitors later in life 1 day ago
As a pediatric nephrologist, I do see cases of isolated (not Fanconi) familial renal glucosuria (FRG) and discuss the pathophysiology with parents,...
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RE: starting spironolactone when cystatin C based GFR 21 (cirrhosis) but creatinind based 41 1 day ago
There are many ways to approach this and it is very difficult from afar, but here are a couple things perhaps to consider: -an increase in Cr fro...
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RE: starting spironolactone when cystatin C based GFR 21 (cirrhosis) but creatinind based 41 1 day ago
Sorry for the delay in reply. The last CAT scan of the abdomen and pelvis without contrast in May, 2023 found cirrhosis of liver did not find any a...
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Post operative Kidney transplant care 1 day ago
Hi,hope everyone will be doing fine. I have a question regarding post operative kidney transplant care. I was recently involved in one case of ki...
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RE: Interference with 1,25 OH D Assay 1 day ago
Thanks- it must not be a biotin related interference. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 ---...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Agree with Dr. Venkat- severe proteinuria raises issue of MCD with AIN or even Collapsing FSGS, neither if which an be diagnosed without a KB, --...
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RE: Budenoside for IgA Nephropathy 1 day ago
Amongst the approved meds Filspari and iotacopan clinical trial with anti April /baff agent ------------------------------ Arvind Madan MB...
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RE: Interference with 1,25 OH D Assay 1 day ago
Dr Glassock, he has been in house whole time and has not been receiving anything other than prescribed medication. Dr Ticas, test was sent to US ...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Urinalysis: WBC > RBC, brings up consideration of AIN + MCD (given abrupt onset of severe nephrotic syndrome), as in NSAID-induced. Positive ANA, n...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Serum PlA2R antibodies ؟؟ Although sudden onset of her disease --------------------------------- Alaa Nabih Abdalla nephrology fellow Egypt -----...
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RE: Budenoside for IgA Nephropathy 1 day ago
Good question, no good answers. Maybe Iptacopan or in the near future APRIL inhibitor or APRIL /BAFF inhibitor, stay tuned. ----------------...
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RE: Budenoside for IgA Nephropathy 1 day ago
What is the best alternative to corticosteroid in patients with IgA nephropathy, particularly in patients with contraindications to corticosteroid?...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Agree with Dr. Glassock thoughts. What about serum LDH, WBC and platelet? Blood smear? Reticulocyte count? Acute severe anemia that necessate bloo...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Normal Complements , negative anti-dsDNA makes Class IV LN less likely. What is the anti-GBM antibody .- severe Fe deficiency might suggest occult ...
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RE: Normal Saline shortage 1 day ago
Group,This is a case of 47 yo female who had left sided pelvic pain found to have prominent prominent left gonadal and paramterial veins with colla...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
UA: 10/1/24 Yellow Turbid 1026 Bili - pH 6.5 Ub - Bld 2+ Glu. 30 Keton- Prot 600 Nitrit- LE 25 : Trace mucus, wbc35 rbc 25 sq ep 6 Bacteriae 2+ S...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
Hydralazine, Allopurinol or Minoxidil therapy? What does a urinalysis show? What is the serum albumin level.? ------------------------------ Rich...
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ANA related NP? NPHS2 mutation ? Obesity related FSGS? 1 day ago
ANA related NP? NPHS2 mutation ? Obesity related FSGS? Dear Community HELP ME find the diagnoses and treat her. 25 yo ww 470 lbs. m. Obesit...
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RE: Normal Saline shortage 1 day ago
Hello Dr. Masud, There was a string on communities, started 6 days ago by Dr Casey Watkins. I have pasted it below, with my reply. Since these...
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RE: Interference with 1,25 OH D Assay 1 day ago
Communication with your colleagues in charge of the clinical chemistry lab may be the best way to proceed. There are too many reasons for interfere...
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RE: Interference with 1,25 OH D Assay 2 days ago
I have found elevated ACE a few times when the assay showed a relatively low 1,25 D I also agree that immobilization can cause hypercalcemia, esp...
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RE: Interference with 1,25 OH D Assay 2 days ago
Biotin is not a prescription medication. Check over-the-counter use of vitamin supplements, just to be sure . ------------------------------ Rich...
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RE: Nephrology salary 2 days ago
Dear Dr. Qayyum, Regarding the starting salaries reported by participating fellows, 4 indicated they were practicing hospital medicine (2 as int...
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RE: Normal Saline shortage 2 days ago
I cannot imagine why you couldn't use it, it is FDA approved for IV installation. IS there anything in it that would preclude using it as a prim...
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RE: Interference with 1,25 OH D Assay 2 days ago
I cannot tell you how often we see immobilization related hypercalcemia. Pt not on a thiazide? ------------------------------ Roger Rodby MD,...
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RE: Interference with 1,25 OH D Assay 2 days ago
Dr Glassock, I have gone back and checked medications and client is not on Biotin. Dr Sprague, would you recommend checking ACE level even if 1,2...
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RE: dsDNA + and GBM + 2 days ago
Dr. Cunha: C3, C4, ANA results? Kidney biopsy results (if done)? Current renal status? Thanks. ------------------------------ K.K. Venkat MD Troy...
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RE: Ig A Nephropathy In Pregnancy 2 days ago
This lady has nephrotic syndrome but has reached 29 weeks of pregnancy. With normal blood pressure i would think this is a podocytopathy possibly w...
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RE: Nephrology salary 2 days ago
https://www.floridasocietyofnephrology.com/page/Agenda2025 ------------------------------ Arvind Madan MBBS, MD Partner Central Florida Kidney Sp...
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RE: Nephrology salary 2 days ago
I am in group practice with 23 nephrologists let me start by saying that numbers that were being suggested here for are not realistic no neph...
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RE: Interference with 1,25 OH D Assay 2 days ago
I believe immobilisation itself can cause prolonged and persistent hypercalcemia. The appropriate reduction in PTH reflects that probably. But that...
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RE: Interference with 1,25 OH D Assay 2 days ago
Other than Biotin as mentioned by Prof Glassock, I am not sure of what else can interfere with the assay, but would repeat it. You may also want to...
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