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: Membranous nephropathy 24 minutes ago
She agrees to proceed with kidney biopsy which has been scheduled. ------------------------------ Pongstorn Pitiranggon MD Pee Dee Nephrology Flo...
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RE: Membranous nephropathy 30 minutes ago
These are her chemistry labs for the past several months. She has been initiated on intermittent HD since 10/21/24. --------------------------...
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RE: post kidney transplant TMA 1 hour ago
Anti-B titre pre transplant was 1:4 and 1:1 post-transplant for few readings. ------------------------------ Bee Boon Cheak; MD Ministry of Heal...
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RE: middle aged female- rash, angiooedema, anti c1q antibodies, blood and protein in urine - is it Lupus? 4 hours ago
With proteinuria falling from 1.3 g to 260 mg, microhematuria and normal kidney function, I thick kidney biopsy will not catch something serious th...
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RE: Membranous nephropathy 7 hours ago
This patient has a high risk for clot giving his severe hypoalbuminemia so I would anticoagulate him with whatever VKA or NOAC such as apixaban or ...
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RE: post kidney transplant TMA 8 hours ago
Have you measured Anti-B titres and DSA post-Tx? ------------------------------ Awais Nauman HMC Doha ------------------------------
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Cheer on your colleagues at the 2024 Fellows-In-Training (FIT) Bowl in the Semi-Finals and Finals 8 hours ago
While at Kidney Week, please stop by the ASN Futures Theater in Exhibit Hall, of the San Diego Convention Center on Friday, October 25, to watch th...
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RE: middle aged female- rash, angiooedema, anti c1q antibodies, blood and protein in urine - is it Lupus? 10 hours ago
Thank yu Dr Balan Well, that has been dilemma. Renal involvement seems to be mild but with multi system involvement including angio oedema I feel...
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RE: Membranous nephropathy 10 hours ago
I would like to do a biopsy here but with the high creatinine and presumed fluid overload, this appears risky. What about a single dose of rituxima...
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RE: middle aged female- rash, angiooedema, anti c1q antibodies, blood and protein in urine - is it Lupus? 11 hours ago
In this patient with microhematuria and normal renal function, would doing a biopsy change the management? Or should we continue current treatment ...
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RE: Membranous nephropathy 11 hours ago
Dr. Venkat - woukd you declare futility in this case based on her age, the serum creatinine trends and the US findings? She has severe NS a greatly...
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RE: Membranous nephropathy 11 hours ago
"admitted on 10/19/24 for worsening dyspnea and progressive kidney failure with serum creatinine of 6.8 as compared with 38 on 8/27/24" What was ...
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RE: post kidney transplant TMA 15 hours ago
Thank you very much for the responses. I don't have the Belatacept in my hospital formulary, can make attempt to acquire it if indicated but the ...
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RE: Re: pt with resistant HTN 21 hours ago
This patient needs to reduce dietary salt intake and increase K intake (urine Na >250 molto/ day and urine K very low). A mineralocorticoid exces...
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RE: immune complex GN superimposed on DN 23 hours ago
HCV, HBV and HIV are all negative. I will proceed with further workup for IRGN. Thank you so much. ------------------------------ Pongstorn Pitir...
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RE: Membranous nephropathy 23 hours ago
I will discuss with her regarding kidney biopsy. Thank you for your help. ------------------------------ Pongstorn Pitiranggon MD Pee Dee Nephrol...
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RE: Membranous nephropathy 23 hours ago
Kidney ultrasound reveals the right kidney measures 9.6 x 5.3. X 4.4 cm and the left kidney measures 9.3 x 6.8 x 5.1 cm. Echogenic renal cortices c...
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RE: Membranous nephropathy 1 day ago
I do not strongly disagree with anti-coagulation , but her risk of bleeding is increased due to "uremia" and I am a little less confident that she ...
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RE: Membranous nephropathy 1 day ago
MN is unusual to present with AKI and my thought this is AKI on CKD and so because of high serum PLA2R Ab, I would treat with RTX in addition to an...
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RE: middle aged female- rash, angiooedema, anti c1q antibodies, blood and protein in urine - is it Lupus? 1 day ago
Thank you Dr Glassock. I have called her back with us scan in 3-4 weeks. Some peopler consider hypocomplementnemic vasculitis as a seperate enti...
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RE: immune complex GN superimposed on DN 1 day ago
Addendum- The patient should also be tested for HCV and HBV ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949...
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RE: middle aged female- rash, angiooedema, anti c1q antibodies, blood and protein in urine - is it Lupus? 1 day ago
This case has many features, especially the lowC3/C4, anti-C1q antibody, classical C pathway activation , recurrent angioedemaangioedema , Vasculit...
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RE: Membranous nephropathy 1 day ago
If her kidney size is normal or nearly so by US , I would do a kidney biopsy and start RTX therapy for presumed PLA2R induced MN. ---------------...
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RE: immune complex GN superimposed on DN 1 day ago
With RPGN, T2DM , Aortic stenosis and TAVR , antiPR 3 antibody and a kidney biopsy showing ICGN pattern with IgA/IgM/C1q/C3+ (classical pathway act...
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middle aged female- rash, angiooedema, anti c1q antibodies, blood and protein in urine - is it Lupus? 1 day ago
Dear all Would be interested in your thoguhts on a lady in her fiftees - well controlled diabetes - diagnosed with hypocomplementenemic vasculiti...
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RE: Re: pt with resistant HTN 1 day ago
Thank you Dr Glassock. I will definitely consider this option ------------------------------ [Sriram] [Sriperumbuduri] [MBBS FASN] [Assistant Pro...
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RE: Re: pt with resistant HTN 1 day ago
I discussed this with her, but I guess I got to reinforce this. bicarb was normal Thank you ------------------------------ [Sriram] [Sriper...
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Membranous nephropathy 1 day ago
An 86 year-old AA female with HTN, HFpEF, nephrotic syndrome and stage 5 CKD was admitted on 10/19/24 for worsening dyspnea and progressive kidney ...
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immune complex GN superimposed on DN 1 day ago
73 year-old caucasian male with type 2 DM, HTN, aortic stenosis s/p TAVR, HFpEF and stage G3a CKD was admitted for dyspnea and purpuric rash of ext...
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RE: Re: pt with resistant HTN 1 day ago
The 24 hr urine electrolytes suggest high salt intake and low fruits and vegetables so dietary advise is warranted. Does the 24 hr urine electrolyt...
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RE: Re: pt with resistant HTN 1 day ago
Good catch. With such huge salt intake it is no wonder that BP control is difficult. I would put the patient in the hospital, with strict dietary N...
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RE: Re: pt with resistant HTN 1 day ago
How about this significant high urine sodium? Seems would benefit from dietary advice? What is the HCO3? ------------------------------ Sarah...
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2024 Fellows-In-Training (FIT) Bowl in San Diego Starts Today, Oct. 24! 1 day ago
FIT Bowl starts today! Come to the ASN Futures Theater in Exhibit Hall, of the San Diego Convention Center to cheer on your colleagues today, Thurs...
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RE: KTR with TB (Rifampicin Interaction With CNIs) 1 day ago
Dear Emara, Completely agree with Dr Agrawal and Dr Balan. Use levofloxacin/moxifloxacin in place of Rifampicin. Here are some articles and guid...
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RE: Re: pt with resistant HTN 1 day ago
Thank you for the detailed explanation appreciate your input ------------------------------ [Sriram] [Sriperumbuduri] [MBBS FASN] [Assistant P...
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RE: Re: pt with resistant HTN 1 day ago
Interesting case! I have similar case couple of years ago who was referred to me from ENT specialist with severe HTN and she was complaining from h...
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RE: Intra-ocular Anti-VEGF 1 day ago
I think this is a problem that need to be addressed. Most of ophthalmologist do not check urine proteins when only managing diabetic retinopathy. I...
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RE: Re: pt with resistant HTN 1 day ago
Thank you Dr Chandran Is there any preference for using Guanfacine ER in a patient like this over clonidine, again for the reason of the former b...
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RE: Re: pt with resistant HTN 1 day ago
Thank you Dr Venkat ------------------------------ [Sriram] [Sriperumbuduri] [MBBS FASN] [Assistant Professor in Nephrology] [Virginia Commonweal...
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RE: Re: pt with resistant HTN 1 day ago
Thank you so much Good point about clonidine ------------------------------ [Sriram] [Sriperumbuduri] [MBBS FASN] [Assistant Professor in Neph...
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RE: Re: pt with resistant HTN 1 day ago
Good point, thank you ------------------------------ [Sriram] [Sriperumbuduri] [MBBS FASN] [Assistant Professor in Nephrology] [Virginia Commonwe...
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RE: Re: pt with resistant HTN 1 day ago
I have done directly observed therapy in my clinic, so may be less of a concern for non-compliace Which combination may increase BP-is it carvedi...
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RE: Re: pt with resistant HTN 1 day ago
Interesting point, thank you ------------------------------ [Sriram] [Sriperumbuduri] [MBBS FASN] [Assistant Professor in Nephrology] [Virginia C...
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RE: Re: pt with resistant HTN 1 day ago
Thank you Dr. Acosta. CT angiogram was negative for RAS. She was on 75 of spironolactone at one point, before I switched to amiloride d/t low renin...
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RE: Re: pt with resistant HTN 1 day ago
Thank you Dr. Glassock. I am thinking of this as an option. need to find a center where I can send this pt ------------------------------ [Sriram...
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RE: Intra-ocular Anti-VEGF 1 day ago
"I see on many occasions new onset nephritis range proteinuria in otherwise well controlled diabetes and hypertension receiving intra-ocular anti-V...
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RE: Intra-ocular Anti-VEGF 2 days ago
Thank you Sent from my iPhone
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RE: Intra-ocular Anti-VEGF 2 days ago
See Prieto del Cura M et al Indian J Opthalmol 2023; 71: 3091-3094 ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949)...
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RE: Intra-ocular Anti-VEGF 2 days ago
I see on many occasions new onset nephritis range proteinuria in otherwise well controlled diabetes and hypertension receiving intra-ocular anti-VE...
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RE: Re: pt with resistant HTN 2 days ago
I have found splitting the dose of the CCB helpful even though they are in a once-a-day formulation. I have also seen additional anti-hypertensive ...
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