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Proliferative Glomerulonephritis with Monoclonal IgG Deposits
Teaching Points

Proliferative Glomerulonephritis with Monoclonal IgG Deposits

This biopsy was performed on a 58-year-old female who presented with mild proteinuria. The glomeruli show diffuse and global endocapillary…

Teaching Points

Thyroidization

One of the many patterns of tubular atrophy in the kidney is the aptly named thyroidization pattern because of its…

Nephronophthisis
Teaching Points

Nephronophthisis by Light Microscopy

Nephronophthisis is an autosomal recessive tubulointerstitial nephropathy that is a leading genetic etiology of end-stage renal disease in children and…


Smoking-Related Glomerulopathy
Teaching Points

Smoking-Related Glomerulopathy

A renal biopsy was performed on this 52-year-old male with a history of hypertension and heavy tobacco use, who is…

Nephronophthisis by ISH
Teaching Points

Nephronophthisis by ISH

Nephronophthisis is an autosomal recessive tubulointerstitial nephropathy that is a leading genetic etiology of end stage renal disease in children…

severe mesangial matrix expansion with frequent large nodule formation, Diabetic Glomerulosclerosis
Teaching Points

Diabetic Glomerulosclerosis with Superimposed Diseases

Diabetic glomerulosclerosis is one of the most common causes of nephrotic range proteinuria in adults. When the clinical course of…


Light Chain Deposition Disease
Teaching Points

Light Chain Deposition Disease

The immunofluorescence in cases of monoclonal immunoglobulin deposition disease is characterized by linear tubular basement membrane staining. In these cases,…

The “C” in Chronic Kidney Disease, CKD
Teaching Points

The “C” in CKD

This renal biopsy illustrates severe chronic kidney injury and its effects on all major compartments of the cortex: most glomeruli…

Membranous Glomerulopathy
Diagnose This!

Diagnose This (June 25, 2018)

What immunofluorescence stain is shown here, what is the immune complex deposition pattern and what disease does it represent? …

By L. Nich Cossey, MD

Monoclonal IgG Deposits
Teaching Points

Proliferative Glomerulonephritis with Monoclonal IgG Deposits

This renal biopsy from a 57-year-old male with acute renal failure, hematuria, and nephrotic-range proteinuria shows a proliferative glomerulonephritis (A)…

Immunotactoid Glomerulopathy, glomerular changes seen with Masson trichrome staining, including capillary wall thickening, capillary proliferation, mesangial matrix expansion, glomerular tuft lobulation, and fuchsinophilic capillary wall deposits
Teaching Points

Immunotactoid Glomerulopathy

Immunotactoid glomerulopathy is one of many glomerular diseases characterized by organized deposits. Figure 1 shows characteristic glomerular changes seen with…

MGN Associated Malignancy
Twitter Poll

Twitter Poll (June 13, 2018)

ANSWER: C In patients older than 60 y/o, MGN is associated with malignancy in 20-30% of cases. The lung is…

By Vanessa Moreno, MD

Crescentic Fibrillary Glomerulopathy
Teaching Points

Crescentic Fibrillary Glomerulopathy

Fibrillary glomerulopathy is a rare disorder of unknown etiology and pathophysiology, which is characterized by deposition of course, randomly-oriented, non-branching…

Fibrillary Glomerulopathy
Diagnose This!

Diagnose This! (June 4, 2018)

The patient is a 67 y/o Caucasian female with slowly progressive kidney disease and 2.3 gm/24 hr proteinuria. Aside from…

By L. Nich Cossey, MD
IgA Nephropathy Oxford classification and scoring
Teaching Points

IgA Nephropathy Oxford Scoring

TheIgA nephropathy Oxford Classification was first published in 2009 by a working group of nephrologists and renal pathologists representing the…