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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…

Anti-VEGF Effect
Teaching Points

Anti-VEGF Effect

This biopsy was taken from an older adult man with acute kidney injury and non-nephrotic range proteinuria. His medical history…

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…

Teaching Points

HIV-Related Kidney Disease: HIVAN

This biopsy is taken from a patient with HIV/AIDS who presented with an elevated serum creatinine and nephrotic range proteinuria.…

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…


Peritubular Giant Cells, giant cell reaction surrounding many of the tubules
Teaching Points

Peritubular Giant Cells

When giant cells surround tubules This renal biopsy was taken from a young woman with elevated serum creatinine (4.3 mg/dL),…

Chronic Lesions of ANCA - Fibrous Crescent
Teaching Points

Chronic Lesions of ANCA – Fibrous Crescents

Fibrous crescents can be differentiated from ischemic obsolescent glomeruli based on the pattern of global sclerosis. The fibrous crescent has…

Intravascular Hemolysis
Teaching Points

Hemoglobin Casts

This 58-year-old African American male without significant past medical history presents with fatigue and weakness. During workup, he was found…


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…

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…

Focal Segmental Glomerulosclerosis (FSGS)
Teaching Points

Focal Segmental Glomerulosclerosis (FSGS), Tip Variant

This biopsy was performed on a 9-year-old female with no significant past medical history, who presents with nephrotic syndrome. The…

Light Chain Proximal Tubulopathy Without Crystals, light chain
Teaching Points

Light Chain Proximal Tubulopathy Without Crystals Tutorial

The two most common morphologic variants of light chain proximal tubulopathy (LCPT) are LCPT with and without crystal formation. The…