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PAS-positive
Twitter Poll

Twitter Poll (May 27, 2021)

Answer: D, PAS-positive The typical histologic features of casts seen in cases of light chain cast nephropathy show light chain…

Kappa Light Chain Cast Nephropathy, teaching point, Arkana Laboratories, renal pathology
Teaching Points

Light Chain Cast Nephropathy

A 75-year-old female is found to have a creatinine of 4.0 mg/dL on a routine laboratory examination. At the hospital,…

PAS negative intratubular casts in renal biopsy at Arkana Laboratories
Diagnose This!

Diagnose This (November 12, 2018)

What is your diagnosis and what do you need to prove it?       …

By L. Nich Cossey, MD

THP
Twitter Poll

Twitter Poll (September 6, 2018)

ANSWER: A – Thick ascending limb of the loops of the Henle THP (aka uromodulin) is an 85 -kDa glycoprotein…

By Vanessa Moreno, MD
PAS-pale, focally fractured tubular casts with associated cellular reaction
Teaching Points

Light Chain Cast Nephropathy with Congo Red Staining

This biopsy was taken from a 60-year-old African American female with a history of diabetes mellitus and hypertension, who presented…

Tubular Cast Tutorial
Teaching Points

Tubular Cast Tutorial

There is a histopathologic spectrum to the casts that can be seen in light chain cast nephropathy. A portion of…


Light Chain Cast Nephropathy
Pushing Glass

Pushing Glass (August 22, 2017)

An 85-year-old gentleman presents to the clinic with nephrotic range proteinuria and a creatinine of 10.0 mg/dl. He reports a…

Extramedullary Hematopoiesis
Teaching Points

Extramedullary Hematopoiesis

This renal biopsy shows extramedullary hematopoiesis (EMH), which is the presence of hematopoietic elements (erythroid, myeloid, and/or megakaryocytic) found outside…

Amyloid Casts
Teaching Points

Amyloid Casts

The differential diagnosis of acute renal failure in patients with multiple myeloma includes light chain cast nephropathy, amyloidosis, and monoclonal…


Teaching Points

Light Chain Cast Nephropathy

Immunofluorescence staining with kappa light chain and lambda light chain antibodies shows negative kappa in casts that are lambda positive…

Patrick D. Walker, MD renal pathologist at arkana laboratories
By Patrick D. Walker, MD
Light Chain Cast Nephropathy
Teaching Points

Light Chain Cast Nephropathy

Atypical fractured cast that is pale on PAS stain is suggestive of light chain cast nephropathy (LCCN). Immunofluorescence examination for…

Patrick D. Walker, MD renal pathologist at arkana laboratories
By Patrick D. Walker, MD