Uremic Pericarditis

We are all familiar with “uremic pericarditis” as one of the standard indications for initiating dialysis, and the number of physical exams with a negative cardiac rub I have documented this year is truly impressive. Which is why,…

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the MEPEX Trial

When you are called at 5pm to start pheresis on a patient with Wegener’s granulomatosis who is already on dialysis…there is a certain part of the renal fellow which wants to say, “Come on–the dude is already on…

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Aristolochic acid

Aristolochic acid is an herb used in many varieties of Chinese herbs and health supplements. Interestingly, it also can cause a severe form of interstitial nephritis which has been known by several names, most notably “Chinese herb nephropathy”…

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What’s in a crescent?

What are the cells that make up crescents, the histopathologic hallmark of rapidly progressive glomerulonephritis (RPGN)? Classically these have been thought to be the parietal epithelial cells which make up Bowman’s capsule. However there is now some thought…

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