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Diagnose This (November 5, 2018)

L. Nich Cossey, MD
By L. Nich Cossey, MD

Nov 05, 2018

kidney ischemia in renal biopsy at Arkana Laboratories
Camera information: Calibration= 1.000 Pixels per pixel; Capture format= 1392 x 1040, Full Frame HQ; Gamma= 0.60; Gain= 1.0 x; Exposure= 9.63 ms; Auto exposure= On; Image type= Colour; Shading= (None); Sharpening= Off; Black clip= 10; White clip= 234; Microscope information:

What renal state do these glomerular changes represent? 

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The photomicrograph shows glomerular tuft retraction with markedly corrugated glomerular basement membranes and periglomerular fibrosis. These findings are somewhat non-specific, but are often associated with kidney ischemia. In this case the patient had severe and uncontrolled hypertension with marked arteriosclerosis.

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