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 22: Issue 4 (Feb 2024): Pregnancy and Kidney Disease is now available online.
RE: ANCA vasculitits 22 minutes ago
Yes, but the trajectory of GFR loss, pre-2021, would not predict the findings in 2023, unless something happened to increase the rate of loss of CC...
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RE: ANCA vasculitits 1 hour ago
There was no labs between 9/21 and 3/2023 ! ------------------------------ Narjes Alamri MD Nephrology Attending SFMC Cape Girardeau MO --------...
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RE: SGLT2i And eGFR Reduction 2 hours ago
The endocrine strategy of withholding SGLT2Is for A1C > "low 8s" does not seem evidence-based: CREDENCE allowed A1C up to 12 and did not describe g...
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RE: ANCA vasculitits 2 hours ago
Out of curiosity, I plotted 1/ Scr values vs time 2017-2024. The plot does not show steady relentless progression of CKD and something happened bet...
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RE: Measuring individual kidney creatinine clearance 4 hours ago
At the present time I think the Gates test using Tc99 DTPA is the preferred method of assessing differential kidney function . It is at least as ac...
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RE: Measuring individual kidney creatinine clearance 9 hours ago
It is my understanding that in normal healthy individuals with approximate equal contribution of each kidney to total kidney function immediately a...
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RE: Measuring individual kidney creatinine clearance 11 hours ago
If right kidney has significantly more function than left kidney, and we use same Cr of 0.7 as in this case to calculate individual or split Cr Cl,...
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RE: Young patient with Lupus-like pattern on IF in kidney biopsy 12 hours ago
interested case, I would emphasize more about any infectious process, tropical infectious sources like leishmaniasis, malaria, syphilis, and IV dru...
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RE: Young patient with Lupus-like pattern on IF in kidney biopsy 19 hours ago
Auto-immune inflammatory myositis has been repeatedly associated with an immune complex GN. This may be such a case. She has a chronic progressive,...
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RE: Young patient with Lupus-like pattern on IF in kidney biopsy 1 day ago
Immunofluorescence and EM findings show a predominantly mesangial immune complex process. Lack of endocapillary proliferation, normal complements a...
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RE: SGLT2i And eGFR Reduction 1 day ago
It hasn't -no interest ------------------------------ George Bakris MD, MA, FASN Professor of Medicine, Director, Am.Heart Assoc. Comprehensive H...
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RE: Young patient with Lupus-like pattern on IF in kidney biopsy 1 day ago
Infections are common cause of GN among children in developing countries. In addition to Malaria would suggest to look for other chronic infections...
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Young patient with Lupus-like pattern on IF in kidney biopsy 1 day ago
A 17 yo patient was referred to us by his GP due to hypertension, nausea and fatigue. The patient is of sub-Saharan descent and only 3 months ago c...
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RE: ANCA vasculitits 1 day ago
I think the creatinine history 3.2 mg/dl 1 year ago, at 79 that is quite advanced CKD and no hematuria and only abnormal serology being a low g...
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RE: ANCA vasculitits 1 day ago
I am an outlier here, but we do not know if stopping Hydralazine alone will be sufficient to arrest her progression to ESKD. I agree that the lack ...
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RE: ANCA vasculitits 1 day ago
I concur with all above, But, I am itching to prescribe Rx Prednisone 10 mg every other day for only 6 months No refill BTW, h...
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RE: ANCA vasculitits 1 day ago
How strongly does the patient want to know? Physician wanting to know the nature of renal disease with no expectation of treatment being influenced...
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RE: ANCA vasculitits 1 day ago
Do you all think kidney biopsy even if it only show sclerosis will help me and the patient know for sure ? That's nothing can be salvageable ---...
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RE: ANCA vasculitits 1 day ago
Dr. Glassock: I agree with stopping hydralazine. However, i am not sure I would subject this 79 -year-old patient who has been inexorably losing re...
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RE: ANCA vasculitits 1 day ago
@Richard Glassock this patient has a steadily worsening creatinine since 2017 and no evidence of a recent jump. She has proteinuria with no 'active...
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RE: SGLT2i And eGFR Reduction 1 day ago
Dr.Bakris. Good tip. Worth remembering. Has the link between HBA1c and the magnitude of the post SGLT21 dip in eFFR been formally studied? If not, ...
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RE: SGLT2i And eGFR Reduction 1 day ago
Fully agree with Roger to stop it in this setting. Many times thats caused by HBa1c 9 or more and gfr at >50 you get an osmotic diuresis and volume...
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RE: safety of Immunosuppression start for possibly GPA with history if bacteremia still in utine culture 1 day ago
Confusing report. What is the result for an ELISA for anti-PR3 auto-antibody? I suppose these resukts might indicate slow improvement of an infecti...
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RE: ANCA vasculitits 1 day ago
Another case of Hydranca Vasculitis. An all too common iatrogenic form of vasculitis. I would stop the Hydralazine and treat with RTX plus a short ...
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RE: IgG kappa MGRS x3: recrudescence and worse response to cybord- time for rebiopsy? 1 day ago
FISH is an extra test. I wonder if it was ordered. Dr. Glassock, CAR-T is not affected by FISH. ------------------------------ Nelson Leung M...
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RE: ANCA vasculitits 1 day ago
It's hard to tell from the records and the patient was unsure. She didn't have any of these labs expect from 2023. At that time she was referred to...
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RE: ANCA vasculitits 1 day ago
How long has been on hydralazine vis-a-vis increased SCr/proteinuria? Also, hydralazine induced autoantibody may be present in blood without causin...
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RE: Measuring individual kidney creatinine clearance 1 day ago
GFR = UV/P. In your case both kidneys are receiving the same blood with the same SCr. So the denominator (SCr or P) is the same for both kidneys. N...
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RE: ANCA vasculitits 1 day ago
Thank you for responding she is on hydralazine which it can cause drug induce vasculitis. Serum albumin 4.3 and I don't have her CRP or sed rate. ...
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RE: Measuring individual kidney creatinine clearance 1 day ago
Thanks for the replies. If right kidney has significantly more function than left kidney, and we use same Cr of 0.7 as in this case to calcula...
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RE: Measuring individual kidney creatinine clearance 1 day ago
I have not measured "split" kidney function for many decades - as this trst was more or less rendered obsolete by the Tc99DPTA scan. Actually, the ...
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RE: ANCA vasculitits 1 day ago
Seven years of progressive increase in SCr, now with stage-5 CKD. Nephrotic range proteinuria never documented No microscopic hematuria. She is at ...
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RE: Measuring individual kidney creatinine clearance 1 day ago
Thanks for the additional information. I assume the isotopic diuretic renogram (12/23) was done ~ 4 months before the recent nephrostomy. SCr has d...
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RE: SGLT2i And eGFR Reduction 1 day ago
High risk patients RAS-i + HCT Spironolactone + HCT -/+ Loop diuretic Pulmonary cachexia Cirrhosis of Liver SOFT BP for t...
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RE: Measuring individual kidney creatinine clearance 1 day ago
1. Yesterday UO from left nephrostomy 700 ml and from suprapubic catheter 1400 ml Today, on day shift -UO from left nephrostomy 750 ml and from s...
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RE: Measuring individual kidney creatinine clearance 2 days ago
Since CT in 12/2022 showed severe left hydronephrosis with cortical atrophy, severe left sided obstruction has been present for at least 16 months....
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ANCA vasculitits 2 days ago
79 y.o.female with type 2 diabetes, hypertension, and CKD. She presented to me with Creatinine 3.40 mg/dl eGFR 13 ml/min . her only symptom is fati...
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Measuring individual kidney creatinine clearance 2 days ago
57 y.o. male with PMHx of C7 injury/TB w/ quadriplegia and chronic suprapubic catheter, chronic L severe hydronephrosis, schizophrenia, HTN, DM Typ...
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RE: safety of Immunosuppression start for possibly GPA with history if bacteremia still in utine culture 2 days ago
Pasting, the latest ANCA profile below that can be compared with the previous Pre treatment in this stem of the question. CRP is better than what i...
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RE: RAI in ESRD-HD 2 days ago
Thank you so much.Very helpful! ------------------------------ Nazia Junejo MD Las Vegas NV (801) 542-7115 ------------------------------
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RE: RAI in ESRD-HD 2 days ago
Thank you ------------------------------ Nazia Junejo MD Las Vegas NV (801) 542-7115 ------------------------------
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RE: SGLT2i And eGFR Reduction 2 days ago
I would stop it, and if creatinine improves restart it at a lower dose. ------------------------------ Roger Rodby MD, FASN Professor of Medicin...
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RE: Sterile Pyuria in a patient with Sjogren's disease 2 days ago
I have to say this is a tough one, and I suspect there is interstitial nephritis, but is it enough to treat? What if you did a biopsy and found it,...
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RE: RAI in ESRD-HD 2 days ago
We have done this a couple times, we got complete help from the nuclear medicine department as they deal with the hospital's radioactive materials ...
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RE: RAI in ESRD-HD 2 days ago
See Holst J et al Thyroid 2005; 15; 1321- 1331. For suggestions on dosage and precautions. ------------------------------ Richard Glassock MD, FA...
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Reminder: Volunteer by May 8 to serve as a case report reviewer for Kidney Week 2024! 2 days ago
ASN invites ASN Fellows-in-Training members to serve as reviewers for case reports submitted by trainees for Kidney Week 2024. The reviewing/gradin...
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RAI in ESRD-HD 2 days ago
A HD patient just diagnosed with thyroid ca and is recommended to have RAI.I am not quite sure how to safeguard dialysis staff /equipment . Looks...
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RE: Re: pharmacogenomic studies in resistant HTN 2 days ago
Thank you Dr Bakris Are there any labs for sending these studies in selected patients ? ------------------------------ [Sriram] [Sriperumbudu...
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RE: SGLT2i And eGFR Reduction 2 days ago
So does SGLt2i have to be stopped if eGFR falls >30% persistently? --------------------------------- Eho Georges Chicago ------------------------...
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RE: Sterile Pyuria in a patient with Sjogren's disease 2 days ago
Thank you for replying WBC count varies between 50 - 100 cells per HPF. No other cells. No proteinuria. Urine protein/creatinine ratio = 0.1...
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