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Teaching Points

Oxalate-induced nephropathy from ingestion of oxalic acid used miticide in beekeeping

Polarizable calcium oxalate microcrystals in a 16-year-old who ingested a small volume (<10 mL) of oxalic acid solution + grain…

mycn-amplified spinal ependymoma wtmk
Neuro Notes

MYCN-amplified spinal ependymoma

Clinical History:This 40-year-old patient has increasing back pain and lower extremity paraparesis. MRI of the cervical and lumbar spine with…

Neuro Notes

Calciphylaxis

Clinical History:This 50-year old patient presented complaints of upper and lower extremity proximal and distal muscle weakness. They also related…


Life at Arkana

Lab Week 2025: Mystery Under the Microscope

This year’s ASCP Medical Laboratory Professionals Week brought a thrilling twist to our celebration with “Mystery Under the Microscope,” a…

By Lex Martin
M25-00400_FFPE_Masson_Trichrome
Neuro Notes

Split muscle fiber

Clinical HistoryThis 45-year-old patient underwent muscle biopsy to evaluate for muscle weakness. The biopsy showed denervation type changes (neurogenic atrophy).…

Patient Resources

APOL1-Mediated Kidney Disease

What is APOL1-mediated kidney disease?APOL1-mediated kidney disease is a form of kidney diseases associated with changes that are known as…


frozen handE_3
Neuro Notes

Partially necrotic and regenerating myofibers

Clinical HistoryThe 21-year-old patient presented with skin rash and proximal upper and lower extremity weakness of several weeks duration. Laboratory…

H&E-5
Neuro Notes

Teenager with difficulty playing sports

Clinical HistoryTeenage male with normal developmental milestones but difficulty playing sports or running.What’s the diagnosis?Here are the diagnostic images for…

pompe disease - 3
Neuro Notes

Teenager with abnormal gait

Clinical HistoryThe patient is a 16 year old male with a longstanding gait abnormality. Genetic testing reveals a pathological mutation.What…


Neuro Notes

Porphyria

Clinical HistoryThe patient is a 44-year-old woman with progressive, episodic weakness. Her past medical history includes erythropoietic porphyria and prior…

Life at Arkana

2025 Arkana Birthday Week

Following the excitement of our All Hands Meeting, we continued the celebration with Arkana’s 24th Birthday Week—a milestone that truly…

By Lex Martin
Life at Arkana

2025 Arkana All Hands Celebration

Arkana’s 2025 All Hands Meeting brought together our entire company for a perfect blend of reflection, celebration, and forward-thinking excitement.…

By Lex Martin

Neuro Notes

Perimysial elastin fibrils

Clinical History This 45-year old patient presented with complaints of muscle weakness. Prior genetic testing detected a heterozygous variant of…

Neuro Notes

Paraneoplastic dermatomyopathy

Clinical HistoryThis 65-year-old patient presented with bilateral symmetrical proximal upper and lower extremity muscle weakness, dysphagia and skin rash.  Their…

Neuro Notes

Oligosarcoma

Clinical HistoryThis 43-year-old patient presented with complaints of worsening right-sided weakness.  Neuroimaging demonstrated a 1.8 x 1.5 x 1.5 cm…