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 3 (Aug 2024): Acute Kidney Injury and Critical Care Nephrology is now available online.
RE: AL Amyloid & Serologic tests 4 hours ago
Is it possible that the patient might have taken hydralazine in the recent past?. Prazosin has be associated with development of FANA, in some but ...
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RE: AL Amyloid & Serologic tests 8 hours ago
Prazosin, lisinopril, ibuprofen, citalopram ------------------------------ Prem Chandran MD Adj Clinical Professor, Univ of Iowa Associates In Ki...
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RE: Budenoside for IgA Nephropathy 9 hours ago
Does the patient have persistent moderate or severe hematuria and or a kidney biopsy showing active inflammatory lesions? . If not, I would not use...
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RE: AL Amyloid & Serologic tests 9 hours ago
Please post the full list of medications being taken by this patient. The auto-immune serology may be induced by medications. -------------------...
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RE: Managing large nephrology inpatient list 10 hours ago
It is a multiple physicians group practice. The inpatient service is covered on weekly basis by one attending including 24h coverage and the weeken...
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AL Amyloid & Serologic tests 11 hours ago
52-year-old white lady from Bosnia with a serum creatinine of 2.1 for several months, very mild proteinuria, no hematuria, mild dyspnea, no urinary...
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RE: Managing large nephrology inpatient list 11 hours ago
Are you in Solo private practice or are you a member of a multiple physician Nephrology Group? What arrangements are in place for night and weekend...
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RE: Interesting Case 12 hours ago
I presume that Congo Red is negative and EM does not show Amyloid or other fibrillar deposits. i also presume that the Light chain stains did not s...
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Managing large nephrology inpatient list 12 hours ago
Hello colleagues, I am a new attending in a private practice and I have a few questions about managing an extensive nephrology inpatient list: ...
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Interesting Case 14 hours ago
Dear all, Would like to know people view in this case Patient known to have CLL on Ibrutinib , also has hep b on treatment tho viral loads never b...
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RE: Budenoside for IgA Nephropathy 16 hours ago
Why not use oral moderate dose prednisone, it is just as effective (and safe) as TRF -Bufesonide (but direct comparator trials are lacking)?. I hav...
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Applications for KidneyCure Grants Now Open 16 hours ago
Applications for KidneyCure grants are now open. These grants support PhD students, nephrology fellows, early-career investigators, and educators. ...
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Applications for KidneyCure Grants Now Open 17 hours ago
Applications for KidneyCure grants are now open. These grants support PhD students, nephrology fellows, early-career investigators, and educators. ...
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Applications for KidneyCure Grants Now Open 17 hours ago
Applications for KidneyCure grants are now open. These grants support PhD students, nephrology fellows, early-career investigators, and educators. ...
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Applications for KidneyCure Grants Now Open 17 hours ago
Applications for KidneyCure grants are now open. These grants support PhD students, nephrology fellows, early-career investigators, and educators. ...
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Budenoside for IgA Nephropathy 17 hours ago
Dear Community Members Considering that Entocort is considerably more affordable than Nefecon, can it be viable option for therapy for patient wh...
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RE: Low urine creatinne 1 day ago
Low creatinine concentration in urine in August 2024, likely due to a water diuresis . Patient should be advised to limit fluid intake before Urine...
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RE: Low urine creatinne 1 day ago
Understood, would like to see her other results and compare for consistency. ------------------------------ John Mellas MD Nephrology and Hyperte...
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RE: Low urine creatinne 1 day ago
------------------------------ Arani Nanavati MD West Des Moines IA (269) 993-8059 ------------------------------
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RE: Low urine creatinne 1 day ago
Thanks Dr. Mellas for your comments - the original post stated that the patient appeared "well nourished" . This would seem to make sarcopenia an u...
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RE: Low urine creatinne 1 day ago
Having studied daily creatinine excretion for a research paper I have found daily urine creatinine levels as low as 10 mg/kg. This has been in pati...
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RE: Low urine creatinne 1 day ago
Dr. Asplin- thanks for your very helpful comments. If there eGFR Cystatin C and the the serum creatinine value is correct, the urine creatinine con...
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RE: Low urine creatinne 1 day ago
If we go back to the original issue, which was getting a urine that would qualify as adequate for a drug test, we need to know the goal. Here are t...
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RE: Low urine creatinne 2 days ago
Thank you all. Will repeat and see ------------------------------ Arani Nanavati MD West Des Moines IA ------------------------------
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RE: Low urine creatinne 2 days ago
so her 24 hour urine creatinine is low, either low muscle mass or under collection. that would have to be a real low muscle mass for this number ...
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RE: Low urine creatinne 2 days ago
What was the rationale for giving cetrizine? Just curious ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-888...
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RE: TRANSPLANT QUESTION: mycophenolate dosing 2 days ago
Thank You Dr Rosenberger for sharing this study. It would be wonderful if Erythrocyte IMPDH activity becomes more widely available as MPA drug leve...
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RE: Low urine creatinne 2 days ago
The eGFR-Cystatin C of 113 ml/min;and a Scr of 0.7 translates to a urine creatinine excretion rate of about 1.5 gms / d so the accuracy of a 24 hr ...
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RE: Low urine creatinne 2 days ago
The "normal" 24 hour creatinine excretion in a 38 year old woman is about 20.4 mg/kg/d (+ or - 3.9) or about 1.4 gms/d in this subject. With urine ...
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RE: Low urine creatinne 2 days ago
you must mean 670 mg/day, if it were 670 mg/dl X 14 dl = her 24 hr urine Cr excretion would be 9.3 grams. Assuming it is 670 mg/day she either ha...
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Low urine creatinne 2 days ago
Hello all, I have a patient who was referred to me for low urine creatinine. She is a 38 yo Caucasian lady who used to abuse drugs. She lost t...
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2nd Annual UME Educator Kidney Week Meetup 2 days ago
Do you teach medical students? Would you like to meet renal block leaders, to share the joys and challenges of teaching nephron physiology? Com...
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RE: HBV Viremia 3 days ago
Thanks. Let us know what you decided to do and what was the outcome in this patient. A n=1 experiment. ------------------------------ Richard Gla...
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RE: HBV Viremia 3 days ago
Dear All, Thank you very much for your reviews and suggestions. In a way I am happy that it generated lots of discussion and as Prof Glassock sum...
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RE: Hypokalemia without an obvious cause and Urine potassium appropriately low 3 days ago
you cannot evaluate K wasting when the K is normal Disregard that K/Cr ration of 78 ------------------------------ Roger Rodby MD, FASN P...
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RE: Hypokalemia without an obvious cause and Urine potassium appropriately low 3 days ago
Spot urine K value not much help since K deficit largely replaced. Everything is quite compatible with extra-renal K depletion, but the posts all p...
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RE: Hypokalemia without an obvious cause and Urine potassium appropriately low 3 days ago
Today as outpatient, Spot urine potassium 73.1 million mole per litter and spot urine Creatinine 93.9 mg/dL so looks like potassium to creatinine r...
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RE: HBV Viremia 3 days ago
You are right sir Original post had 2 questions hbv issue we all agreed dosing issue was independent of hbv viremia -----------...
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RE: HBV Viremia 3 days ago
Great discussion- very divided opinions- mainly on MMF/MPA dosing, not so much on the HBV issues. No real consensus emerged (so far). -----------...
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RE: HBV Viremia 3 days ago
I think I would agree with Dr Singh in terms of reducing mycophenolate dose but not for the HBV infection. There was a study from Vellore where the...
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RE: HBV Viremia 3 days ago
Cyclosporine reduces mycophenolic acid exposure by 40% while other calcineurin inhibitors such as Tacrolimus and Voclosporin don't. There is ...
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RE: HBV Viremia 3 days ago
Hi all, this is only based on my limited experience in renal transplant medicines. Looking through the 'Viral hepatitis: guidelines by the Ame...
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RE: Membranous Nephropathy Monday, September 30 @ 2:56 AM
@Richard Glassock Dear Dr. Glassock, why do you prefer RTX now over observation of PLA2R trend over few months? ------------------------------ M....
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RE: Membranous Nephropathy Monday, September 30 @ 1:35 AM
Nothing mention to show that this was provoked PE ? Was hypercoagulability workup done? Not sure if we a have a clear picture or one disease t...
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RE: IG A Vasculitis with diffuse profoliferative crecentivrabout Monday, September 30 @ 1:22 AM
Thanks a lot! Such gut feeling is very valuable!
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RE: Tolvaptan for PCKD Sunday, September 29 @ 5:53 PM
thank you yes it was the first AM urine will review the predicted gfr decline based on Mayo classification and may consider going up to next d...
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RE: IG A Vasculitis with diffuse profoliferative crecentivrabout Sunday, September 29 @ 5:48 PM
No data on safety/efficacy of MMF +RTX. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 -----------------...
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RE: IG A Vasculitis with diffuse profoliferative crecentivrabout Sunday, September 29 @ 4:41 PM
I would definitely try RTX, but I recognize rhat it is not a suggestion based on RCT. To my knowledge there are no comparator trials of MMF vs RTX ...
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RE: HBV Viremia Sunday, September 29 @ 4:37 PM
This is not an outcome based study , and I do not know if the findings were ever independently confirmed. ------------------------------ Richard ...
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RE: HBV Viremia Sunday, September 29 @ 2:30 PM
Thanks a lot for this paper! I will keep it in mind, especially for the rare cases of slim Western Europeans which may match the slim Asians.
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