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 2 (Jun 2024): Electrolytes and Acid-Base Disorders is now available online.
RE: IgA Vasculitis in an adult 3 hours ago
Now I understand the significance of the anti-dsDNA antibody and anti-MPO ANCA - this is almost certainly Hydralazine induced Vasculitis superimpos...
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RE: IgA Vasculitis in an adult 4 hours ago
Mild petechial lesions in left shin which are fading away. He is on Hydralazine for HTN ( Can cause drug induced lupus) No drug use See renal ...
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RE: membranous nephropathy 4 hours ago
Dr. Glassock: I absolutely agree with you that AKI due to bilateral acute RVT or acute RVT in a solitary functioning is very rare. However, if this...
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RE: IgA Vasculitis in an adult 4 hours ago
Thanks. Can you provide any more details on the cutaneous findings in this case (*mentioned in the Biopsy Report)? The kidney pathology is consiste...
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RE: IgA Vasculitis in an adult 4 hours ago
Can you please post recent creatinine trend? Have you repeated UPr/Cr and/or UAlb/Cr? ------------------------------ K.K. Venkat MD Troy MI (248)...
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RE: Solute diuresis - post obstructive diuresis how long does it last? 5 hours ago
The patient's bacteremia has cleared, and their hemodynamics are stable. The continuation of IV fluids is recommended by the primary attending and ...
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RE: IgA Vasculitis in an adult 5 hours ago
Attached pls find the biopsy report ------------------------------ ChiragVaidya ------------------------------ Files Attached DocumentRE: I...
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RE: Solute diuresis - post obstructive diuresis how long does it last? 5 hours ago
Is there any other reason why fluids are being administered as described? Does he continue to have a clinical picture of active infection / sepsis?...
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RE: membranous nephropathy 5 hours ago
In my experience, AKI due to bilateral RVT in MN in Adults is exceedingly rare, but I agree that imaging for RVT makes sense in this rare occurrenc...
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RE: membranous nephropathy 5 hours ago
In the unlikely setting of AKI due to acute RVT which may necessitate thrombolysis, documentation that there is thrombosis I the renal vein(s) is o...
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RE: is it indicated to undergo parathyroidectomy? 6 hours ago
Is this 50-year-old lady post-menopausal or not? "Osteopenia" in fhis patient is almost certainly from primary HPT and not from early stage of comm...
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RE: is it indicated to undergo parathyroidectomy? 6 hours ago
In response to Prof Glassock's comments, questions. An experienced surgeon greatly influences my decision to proceed with surgery and I am opposed ...
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RE: Treatments Of Primary Membranous Nephropathy 6 hours ago
Is CHF well controlled? How long ago was the baseline SCr of 1.5 - 1.8 mg/dL documented before recent AKI/CKD? Kidney US findings (length/echogenic...
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RE: Nephrotic range proteinuria, steroid resistant FSGS ? Genetic, steroid treatment cessation 6 hours ago
Thanks Dr. Sundaramurthy: Thanks for posting the genetic testing report. Parental testing you refer to: Is this testing for proteinuria/renal funct...
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RE: Nephrotic range proteinuria, steroid resistant FSGS ? Genetic, steroid treatment cessation 7 hours ago
Thanks Dr Glassock --------------------------------- Dhivya Sundaramurthy MD, MBBS Des Moines IA (989) 964-9508 ---------------------------------
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RE: Treatments Of Primary Membranous Nephropathy 8 hours ago
I would be inclined to treat with RTX now. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 -------------...
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RE: is it indicated to undergo parathyroidectomy? 8 hours ago
Thanks Dr.Sprague. The diagnosis of Primary hyperparathyroidism due to a parathyroid adenoma seems pretty clear. How would the availability (or lac...
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RE: membranous nephropathy 8 hours ago
Yes, I agree that in the event of a recurrent VTE , in the face of full anti-coagulation (and compliance with the DOAC prescription, a likely call ...
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RE: is it indicated to undergo parathyroidectomy? 10 hours ago
It is a bit of a tough call. was the distal radius obtained with the DEXA, if that is decreased, then likely significant hyperpara and would procee...
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RE: Treatments Of Primary Membranous Nephropathy 10 hours ago
The patient just had Anti-PLA2R done that is 28.5 with reference lab range 0-19. Positive > 19. She was not able to get the test sooner as she ju...
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RE: membranous nephropathy 11 hours ago
In the event of of recurrent thromboembolism from unremitting proteinuria & urinary loss of anti- thrombin 3, a qstn will arise as to there is the ...
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RE: Nephrotic range proteinuria, steroid resistant FSGS ? Genetic, steroid treatment cessation 13 hours ago
The patient is a compound heterozygote for NPHS2-related FSFS. I don't think that any further genetic analysis is needed, except for genetic counse...
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RE: membranous nephropathy 13 hours ago
The patient is on a DOAC for his VTE. Does it make any difference if the source for the PE was a RVT compared to a non-RVT anatomic site?. The lack...
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RE: membranous nephropathy 14 hours ago
Agree he needs therapy as soon as possible. Does he have renal vein thrombosis, is that the source of his pulmonary embolism? I presume he's alread...
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RE: Nephrotic range proteinuria, steroid resistant FSGS ? Genetic, steroid treatment cessation 15 hours ago
Dr Glassock and Dr Venkat, Both mutations were heterozygous as per attached report. Parents non-consanguineous. He was tested for COL mutations a...
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is it indicated to undergo parathyroidectomy? 20 hours ago
Hi I had a consultation with a patient for second opinion. A 50 year old lady was found to have hypercalcemia on routine check up.She is not hy...
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RE: Keto acid analogue in incremental hemodialysis and peritoneal dialysis patients 1 day ago
Thank you for the insight Dr Glassock ------------------------------ Yasmine Wardoyo MD Cipto Mangunkusumo Hospital jakarta +628119760555 -------...
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RE: Monitoring Response After Rituximab 1 day ago
Peripheral blood CD19+ B cells are only one of the discrete pools of pathogenic B cells. What about such B cells residing in Lymph Node germinal ce...
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RE: Keto acid analogue in incremental hemodialysis and peritoneal dialysis patients 1 day ago
Thank you Dr Glassock....Prem Chandran
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RE: Monitoring Response After Rituximab 1 day ago
If the CD 10 & CD19 +ve cells have all been wiped out from prior dosing, is there any therapeutic advantage for giving/continuing RTX? Would one st...
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RE: Keto acid analogue in incremental hemodialysis and peritoneal dialysis patients 1 day ago
If you believe in "evidence based treatment, where is the evidence that in this specific situation that starting oral Keto-analogues, in any dose ,...
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RE: membranous nephropathy 1 day ago
I believe that this patient needs therapy now for PLA2R+ MN and a kidney biopsy is not needed to trigger thus necessary action. ----------------...
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RE: Monitoring Response After Rituximab 1 day ago
What constitutes an '"overdose " of RTX and what are its consequences? ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (...
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RE: Solute diuresis - post obstructive diuresis how long does it last? 1 day ago
Your approach is very logical and easy to understand. I also believe this is the best option. However, I am having trouble convincing others to sto...
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RE: Monitoring Response After Rituximab 1 day ago
@Richard Glassock And this was for specific disease (vasculitis) Don't know if we can generalize for other indications -----------------------...
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RE: Monitoring Response After Rituximab 1 day ago
Please not that the outcomes are the same with or without dosing according to CD19+ B cell counts. This is an economic not a patient centered benef...
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RE: Keto acid analogue in incremental hemodialysis and peritoneal dialysis patients 1 day ago
Should be Ariyanopparut, S. et al. Scientific Reports 2023; 15: 15459. Sorry for the mispell. ------------------------------ Richard Glassock MD,...
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RE: Monitoring Response After Rituximab 1 day ago
@Prem Chandran So you monitor CD19 after 3 months of the infusion? not before that, right ? And if after 3 months CD19 >0 , you give additional 50...
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membranous nephropathy 1 day ago
Dear all I would like opinion from my esteemed nephrology teachers and colleagues about a case with membranous nephropathy based on AntiPla2R bu...
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RE: 12-year-old child on Dialysis 1 day ago
Update about the case: The highest peak serum creatinine was 4.9 last Friday, but it decreased to 4.4 today compared to the previous week. I ap...
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RE: How to diagnose hyperaldo. in ESRD? 1 day ago
@Prem Chandran Here is the conversion document I created to clear the confusion over the units conversion for Aldo/ Renin. As you know Renin ...
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RE: How to diagnose hyperaldo. in ESRD? 1 day ago
@Richard Glassock That is a good point. I agree that genetic testing should be done, given how early his HTN developed. He is under the care of ano...
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RE: Keto acid analogue in incremental hemodialysis and peritoneal dialysis patients 1 day ago
Dr Glassock: I am having a heck of a time in getting this report you cited: Ariyanoparrut S, et al. Scientific Reports 2023; 13:14529)By any chance...
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RE: Monitoring Response After Rituximab 1 day ago
Plz see attached report of the French Vasculitis group, a multi-center study. I have used their recommendations to avoid over-dosing ---------...
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RE: Male KTR Seeking To Have Children 1 day ago
specific adjustments to immunosuppressive therapy are not typically required for sperm donation, a thorough review and consultation with healthcare...
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RE: Keto acid analogue in incremental hemodialysis and peritoneal dialysis patients 1 day ago
Good Question. I suppose that you are asking whether the addition of oral keto-analogues to a low-protein (plant based ) dietary regimen will causa...
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RE: Male KTR Seeking To Have Children 1 day ago
We don't, although the product insert suggests so. A couple of relatively small studies have shown no increase in risk of teratogenicity. ------...
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RE: Solute diuresis - post obstructive diuresis how long does it last? 2 days ago
IMO, the important question in cases like this is whether the negative balance is physiologic or pathologic. I always presume and treat as physiolo...
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Keto acid analogue in incremental hemodialysis and peritoneal dialysis patients 2 days ago
Dear Prof and Doc, I have several patients with incremental hemodialysis and peritoneal dialysis. They still have significant urine output. They...
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RE: Monitoring Response After Rituximab 2 days ago
Great Question. Unfortunately , I do not know of widely accepted or consensus view on this subject in relation to the three disorders in which Ritu...
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