Definition A group of podocytopathies (of varying etiologies) share a common morphologic feature of focal segmental glomerulosclerosis (FSGS), typically with moderate to heavy proteinuria. The term “sclerosis” means healing and it is characterized by accumulation of glomerular collagen…
In 1971, a group of virologists in London first described a novel polyomavirus they discovered in the urine and urothelial cells of a kidney transplant recipient who had developed ureteric stenosis. Named after the patient it was first…
Thrombotic microangiopathy (TMA) is characterized by microvascular endothelial injury and thrombosis, presenting both clinically and histopathologically in two main forms; acute and chronic TMA. Etiology and Clinical Presentation Table 1: Etiologies of TMA classified according to clinical presentation…
Amyloidoses are a group of diseases resulting from deposition of amyloid, insoluble fibrils derived from various precursor proteins, into extracellular tissues. Amyloidoses are acquired or hereditary, and depending on where amyloid deposits, can affect a wide range of…
Our last post on lupus nephritis focused on pathogenesis ,clinical presentation, grading and class I/II disease. The next segment this month will cover class III-VI disease. Class III: Focal lupus nephritis It accounts for about 9-24% of lupus…
Our endeavor for the next 2 months will be a focus on Lupus nephritis. This month we will cover general aspects of disease, introduction to subclasses and activity indexes. Background and Demographics Systemic lupus erythematosus (SLE) is a…
Demographics Membranous nephropathy (MN) is one of the most common causes of nephrotic syndrome in Caucasian adults above 40 years. However, it can occur in different ages and ethnicities. The incidence was estimated about 8-10 cases per one…
Introduction Atheroembolic kidney disease develops due to occlusion of small renal arteries by cholesterol crystal emboli originating from the rupture of atheromatous aortic plaques. It is part of a systemic disease and embolization often affects other organs such…
Our focus on myeloma related disorders continues- view previous posts here. Pathogenesis C3GN is a type of glomerulonephritis characterized by dominant C3 deposition resulting from overactivation of the alternative pathway of complement (APC) from acquired or hereditary causes. The…
Our focus on myeloma related disorders continues- view previous posts here. Pathogenesis Proliferative glomerulonephritis with monoclonal immunoglobulin deposition (PGNMID) is seen in less than 1% of native kidneys and is due to IgG kappa (IgG3 most commonly) deposition in…