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persistent proteinuria, membranous glomerulopathy
Teaching Points

Resolving Membranous Glomerulopathy

A renal biopsy was performed on this 55-year-old female with a history of biopsy-proven membranous glomerulopathy status post immunosuppressive therapy,…

glomerulus with Congo red positive mesangial staining
Teaching Points

Congo Red Stain Tutorial

Congo Red Stain Tutorial: What does it show? Positive Congo red staining in tissue with apple-greenbirefringenceunderpolarized lightis diagnostic of the…

Collapsing glomerular lesions
Teaching Points

Collapsing Morphology

Collapsing glomerular lesions are aptly named, given the prominent collapse of glomerular tuft capillary loops. There is also hyperplasia and…


Subepithelial Humps, irregular subepithelial deposits
Teaching Points

Subepithelial Humps

  The depicted electron micrograph shows numerous, large and irregular subepithelial deposits which protrude from the glomerular basement membrane towards…

paraffin immunofluorescence
Teaching Points

Potential Diagnostic Pitfall of PIF Method

The paraffin immunofluorescence technique is simple to perform for renal pathology laboratories familiar with routine IF. It is important as…

Interstitial Eosinophils
Teaching Points

Interstitial Eosinophils

Prominent interstitial eosinophils (see arrow) are most often associated with allergic-type acute interstitial nephritis (AIN). However, interstitial eosinophils are not…


mild endocapillary hypercellularity with rare double contour formation of the capillary loops, Proliferative Glomerulonephritis with Monoclonal IgG Deposits
Teaching Points

Proliferative Glomerulonephritis with Monoclonal IgG Deposits

This biopsy was performed on an 81-year-male, status post renal transplant, who presented with increased creatinine (2.3 mg/dl) and microscopic…

Tubular Cast Tutorial
Teaching Points

Tubular Cast Tutorial

There is a histopathologic spectrum to the casts that can be seen in light chain cast nephropathy. A portion of…

Membranoproliferative Glomerulonephritis
Teaching Points

Membranoproliferative Glomerulonephritis Pattern

This glomerulus shows a membranoproliferative glomerulonephritis (MPGN) pattern of injury. To a large extent, the etiologic differential diagnosis depends on…


Chronic Uric Acid Nephropathy
Teaching Points

Chronic Uric Acid Nephropathy

Chronic uric acid nephropathy results from deposition within the renal parenchyma of monosodium urate monohydrate. While the disease may occur…

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…

Microcystic Tubular Dilatation
Teaching Points

Microcystic Tubular Dilatation

Microcystic dilatation of tubules is a non-specific morphologic finding associated with various diseases, including obstructive nephropathy, HIV-associated nephropathy (HIVAN), congenital…


Ask-Upmark, normal renal biopsy, arkana laboratories
Teaching Points

Ask-Upmark

This kidney biopsy is from a 16-year-old boy with a history of chronic reflux nephropathy. Imaging findings showed unilateral segmental…

Cryoglobulinemic Glomerulonephritis
Teaching Points

Hep C-Associated Cryoglobulinemic Glomerulonephritis

This biopsy was performed on a 66-year-old Caucasian male with a history of hepatitis C, who presented with nephrotic range…

Alport Syndrome Detected with IF
Teaching Points

Alport IF

In patients suspected of having Alport syndrome, immunofluorescence staining can be used to detect abnormal expression of various alpha chains…