NEPHROLOGY

Reflux Nephropathy and Vesicoureteral Reflux

Oct 11, 2016 by in NEPHROLOGY Comments Off on Reflux Nephropathy and Vesicoureteral Reflux

Fig 25.1 Voiding cystourethrogram revealed right vesicoureteral reflux to blunted calices (not shown). Images provided by Dr. Akira Kawashima, Department of Radiology, Mayo Clinic, Rochester, MN Fig 25.2 Delayed enhanced…

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Chronic Interstitial Nephritis

Oct 11, 2016 by in NEPHROLOGY Comments Off on Chronic Interstitial Nephritis

Fig. 24.1 Simplistic schematic representation of the general relationship between inflammatory cells (resident and infiltrating), vessels, fibroblasts, tubules and extracellular matrix in the normal kidney. The interrelation and interaction between…

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Cryoglobulinemias

Oct 11, 2016 by in NEPHROLOGY Comments Off on Cryoglobulinemias

Fig. 7.1 Skin histology. Cryoglobulinemic vasculitis with fibrinoid necrosis of the capillary walls with pyknotic nuclei and nuclear debris of granulocytes and mononuclear cell infiltrates Rheumatologic Manifestations.  Arthralgias, usually bilateral…

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Anti-glomerular Basement Membrane Disease

Oct 11, 2016 by in NEPHROLOGY Comments Off on Anti-glomerular Basement Membrane Disease

Anti-GBM disease ANCA-associated vasculitis • May present with rapidly progressive renal failure and anuria • Systemic prodromal symptoms are uncommon • Dialysis dependency at presentation rarely associated with renal recovery…

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Systemic Lupus Erythematosus and the Kidney

Oct 11, 2016 by in NEPHROLOGY Comments Off on Systemic Lupus Erythematosus and the Kidney

Fig. 11.1 The pathogenesis of lupus nephritis and novel therapies based on pathogenic pathways. In this model lupus nephritis begins with the accumulation of autoreactive self-antigens such as nucleosomes. The…

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Cytomegalovirus, BK, and Other Viral Infections of the Kidney

Oct 11, 2016 by in NEPHROLOGY Comments Off on Cytomegalovirus, BK, and Other Viral Infections of the Kidney

Fig. 14.1 Renal biopsy showing a large cell with CMV inclusions and surrounding interstitial inflammation (H&E, 60×) Fig. 14.2 Immunohistochemistry (immunoperoxidase staining) showing CMV-infected cells Other Immunocompromised Hosts Besides renal…

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Membranous Nephropathy

Oct 11, 2016 by in NEPHROLOGY Comments Off on Membranous Nephropathy

Fig. 5.1 Representative light microscopy showing thickened glomerular basement membranes with spikes and pinholes (arrows) on higher power. (a) PAS stain, 40×; (b) PAS 60×; (c) Silver stain 60×; (d)…

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Other Glomerular Diseases

Oct 11, 2016 by in NEPHROLOGY Comments Off on Other Glomerular Diseases

Fig. 19.1 Collagenofibrotic glomerulopathy (PAS stain). From Ponticelli and Glassock [1]; by permission of Oxford University Press The mechanisms responsible for the deposition of type III collagen in glomeruli are…

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Uric Acid and the Kidney

Oct 11, 2016 by in NEPHROLOGY Comments Off on Uric Acid and the Kidney

Fig. 26.1 Production and metabolism of uric acid. XO xanthine oxidase, XDH xanthine dehydrogenase, NAD nicotinamide adenine dinucleotide The best known consequence of an elevated uric acid in humans is…

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Glomerular Disease in Pregnancy

Oct 11, 2016 by in NEPHROLOGY Comments Off on Glomerular Disease in Pregnancy

  Preeclampsia HELLP syndrome Active lupus nephritis Timing in pregnancy (weeks gestation) After 20 weeks After 20 weeks Any gestational age Complement (C3, C4) Normal Normal May be decreased Thrombocytopenia…

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