Hyperkalemia is a common complication after organ transplantation, that resultins from several factors, including medications. Although the exact mechanism is unclear, calcineurin inhibitors (CNI), such as tacrolimus and cyclosporin, have been hypothesized to cause hyperkalemia through inhibitory effects…
Acquired Cystic Kidney Disease in the ESKD population Acquired cystic kidney disease (ACKD) was first described in 1847 by Simon while studying patients with glomerulonephritis (Bright’s Disease). However, it was not until 1977 when ACKD was “rediscovered” by…
Waxy casts are found during microscopic examination of the urinary sediment. Like other casts, they are cylindrical structures, but they are distinctly characterized by a high refractive index. Their shape can be straight (Fig. 1A, top cast), convoluted (Fig….
Encapsulating Peritoneal Sclerosis (EPS) is an extremely rare, but devastating possible complication of peritoneal dialysis. The International Society of Peritoneal Dialysis (ISPD) defines it as a “syndrome continuously, intermittently, or repeatedly presenting with symptoms of intestinal obstruction caused…
We’re excited to begin sharing posts from the Rewind section of ASN Communities. Below is a post from Mark Lerman, MD, FASN, originally posted 7/8/18. Enjoy! IntroductionA patient is scheduled for an ABO incompatible kidney transplant. He is…
Introduction The surgical technique for creating an arteriovenous fistula (AVF) has existed since 1966. AVFs are the recommended vascular access for end stage kidney disease patients who require dialysis, but only 14% of patients in the United States…
While there are less morbidity and mortality associated with peritonitis than sepsis and bacteremia, peritonitis is still a major cause of peritoneal dialysis technique failure and mortality is not negligible. Many measures have been studied and are now…
We have another new series of posts to offer this month- Point of Care Ultrasound in Nephrology (POCUN). What better way start off than with kidney stones. Urolithiasis is one of the most common indications for urinary tract…
This summer, I had the privilege of participating in KidneyTREKS (Tutored Research and Education for Kidney Scholars), a program for medical students, graduate students, and postdoctoral fellows created by the American Society of Nephrology to provide exposure and…
Lupus nephritis occurs in up to 80% of patients with SLE, and is associated with significantly reduced survival. Interestingly, one of the first studies to describe lupus nephritis was written approximately 50 years ago (Fig. 1) and was…