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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…

Kappa-Restricted Light Chain Deposition Disease, renal cortex
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Diagnose This (July 23, 2018)

What is your diagnosis? The images show thickened tubular basement membranes on PAS stain and kappa restricted staining of the…

By L. Nich Cossey, MD
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),…


intimal arteritis as well as surrounding glomeruli with a membranoproliferative pattern of injury
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Diagnose This (July 9, 2018)

What is your diagnosis in this native kidney biopsy? …

By L. Nich Cossey, MD
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,…

Membranous Glomerulopathy
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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)…

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…

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

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…

Minimal Change Disease
Twitter Poll

Twitter Poll (June 6, 2018)

ANSWER: B Hodgkin lymphoma and less often other lymphoproliferative disorders have been associated in the pathogenesis of minimal change disease…

By Vanessa Moreno, MD
Immunohistochemical staining for PLA2R
Teaching Points

PLA2R Tutorial

The diagnosis of membranous glomerulopathy has been transformed in the past 10 years with the discovery of PLA2R. PLA2R is…