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FSGS Secondary
Twitter Poll

Twitter Poll (March 14, 2018)

ANSWER: D FSGS secondary to adaptive changes usually present with glomerular hypertrophy (glomerulomegaly), perihilar distribution of sclerosis with hyaline deposits,…

By Vanessa Moreno, MD
fibrillary glomerulopathy
By L. Nich Cossey, MD
Light Chain Proximal Tubulopathy Amyloid Proximal Tubulopathy Type, renal biopsy, kidney pathology, arkana laboratories
Teaching Points

Light Chain Proximal Tubulopathy Amyloid Proximal Tubulopathy Type

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


Negative PLA2RAb Serology
Twitter Poll

Twitter Poll (February 14, 2018)

ANSWER: B 10-15% of cases with renal biopsy findings consistent with PMN (positive PLA2R staining) can have negative PLA2RAb serology…

By Vanessa Moreno, MD
Collagenofibrotic Glomerulopathy
Diagnose This!

Diagnose This! (February 12, 2018)

What is your diagnosis? (Congo red is negative as is routine immunofluorescence)   …

By L. Nich Cossey, MD
extensive mesangial and subendothelial deposition of PAS-positive
Teaching Points

Fibronectin Glomerulopathy

A renal biopsy was performed in a 32-year-old female with microscopic hematuria and nephrotic range proteinuria of 4 grams per…


Glomerulomegaly in renal biopsy
Teaching Points

Glomerulomegaly

This biopsy was performed on a 26 year old muscular male with history of persistent subnephrotic proteinuria (UPCR = 2.3…

Pushing Glass

Pushing Glass (January 26, 2018)

An otherwise asymptomatic 65-year-old man presents for medical evaluation after 15 years of not seeing a physician. He was noted…

By Md Shahrier Amin, MD
Light Chain Proximal Tubulopathy
Teaching Points

Light Chain Proximal Tubulopathy with Crystals

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


Collapsing Glomerulopathy
By L. Nich Cossey, MD
Fibrinogen Aα-chain Amyloidosis
Teaching Points

Fibrinogen Aα-chain Amyloidosis

A 65-year-old male, with no significant past medical history, presents with proteinuria and worsening renal function. The serum creatinine is…

cryoglobulinemia
Pushing Glass

Pushing Glass (January 12, 2018)

A 70-year-old female presents with 8 grams of proteinuria and a creatinine of 2.1. She relays that she has noticed…


IgA Nephropathy
Diagnose This!

Diagnose This! (January 8, 2018)

The immunofluorescence image shown is of IgA. What is the most likely diagnosis and clinical history?   …

By L. Nich Cossey, MD
Antibody-Mediated Rejection
Teaching Points

Antibody-Mediated Rejection

This biopsy was performed on a 37-year-old female with a history of type 1 diabetes mellitus, status post second deceased…

Immunotactoid Glomerulopathy
Twitter Poll

Twitter Poll (December 20, 2017)

ANSWER: D Immunotactoid glomerulopathy presents with Congo red-negative microtubular deposits with electron-lucent lumens measuring >30 nm in diameter.

By Vanessa Moreno, MD