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myadla.bsky.social
@myadla.bsky.social
600 followers 150 following 110 posts
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kidneying.bsky.social
Brammah R Thangarajah @kidneying.bsky.social · Jul 31
#ECNeph @brammahin @Dilushiwijay @myadla @acssjr @dra_miliflores

pubmed.ncbi.nlm.nih....
pubmed.ncbi.nlm.nih....

☄️ More than few reported cases exist

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Reposted
kidneying.bsky.social
Brammah R Thangarajah @kidneying.bsky.social · Jul 31
ℹ️Turns out patient has hypogammaglobulinemia
❓MMF related/disease related
Ig A - 134 mg/dl ( 70-400)
⬇️Ig G - 669 mg/dL (700-1600)
⬇️⬇️Ig M - 38 mg/dL (40-230)

😏Does it explain all?

#ECNeph @brammahin @Dilushiwijay @myadla @acssjr @dra_miliflores
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jul 31
Agree #ECNeph
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jul 31
How to differeentiate flare from infection ? Any novel markers #ECNeph
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Reposted
kidneying.bsky.social
Brammah R Thangarajah @kidneying.bsky.social · Jul 31
#ECNeph
@brammahin @myadla @Dilushiwijay @acssjr @dra_miliflores
@Dilushiwijay @ISNkidneycare

Admitted with febrile illness
Flare vs infection

Any other DD ?
Thoughts plz !
Mild rise in creatinine
Kidney Bx : Now Class III LN
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Reposted
kidneying.bsky.social
Brammah R Thangarajah @kidneying.bsky.social · Jul 31
#ECNeph @brammahin @myadla @ISNkidneycare
@Dilushiwijay @acssjr @dra_miliflores

Class switching in LN
Bomback AS. Nonproliferative Forms of Lupus Nephritis: An Overview. Rheum Dis Clin North Am. 2018 Nov;44(4):561-569
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jul 31
Common diagnosis in this age group of rhematological category is lupus ..Need to see whether shes satisfying criteria #ECNeph
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Reposted
acssjr.bsky.social
Augusto Cesar S Santos Jr @acssjr.bsky.social · Jul 31
Let start the discussion!
23 YO women with Lupus and recurrent admissions
#ECNeph
@kidneying.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social @dramiliflores.bsky.social
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jul 31
Hi #ECNeph
Dr Manjusha From India
Eager to learn
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Reposted
kidneying.bsky.social
Brammah R Thangarajah @kidneying.bsky.social · Jul 31
#ECNeph
@brammahin @myadla @Dilushiwijay @acssjr @dra_miliflores
@Dilushiwijay @ISNkidneycare

Is the diagnosis obvious ?
Should we check labs?
ANA+VE/low C3/hemat /Musculo skeletal involvement /Kidney
Biopsy done in v/o proteinuria : Class 1
Can it be podocytopathy
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jun 30
Thank you for a good case prsentation
@karnephro.bsky.social #ECNeph @dilushiwijay.bsky.social @theisn.org
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jun 30
Recent publication from CKJ
@karnephro.bsky.social #ECNeph @dilushiwijay.bsky.social @theisn.org
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Reposted
karnephro.bsky.social
Shubharthi Kar @karnephro.bsky.social · Jun 30
⚡️PLA2R antibody seropositivity doesn’t mean that we do not investigate for underlying malignancies.
Here is a Case Report showing PLA2rAb MN having Carcinoma Oesophagus
#ECNeph
@theisn.org @myadla.bsky.social @dramiliflores.bsky.social @arvindcanchi.bsky.social
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Reposted
karnephro.bsky.social
Shubharthi Kar @karnephro.bsky.social · Jun 30
KDIGO recommends Population and Age-appropriate Screening for malignancies irrespective of antigen status
#ECNeph
@theisn.org @myadla.bsky.social @dramiliflores.bsky.social @arvindcanchi.bsky.social
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Reposted
theisn.org
ISNkidneycare @theisn.org · Jun 30
Yes, some tests came after biopsy #ECNEPh
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jun 30
@karnephro.bsky.social #ECNeph @dilushiwijay.bsky.social @theisn.org
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jun 30
Check the distribution of solid malignancies in NS
@karnephro.bsky.social #ECNeph @dilushiwijay.bsky.social @theisn.org
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jun 30
Differentiating between PMN and SMN @karnephro.bsky.social #ECNeph @dilushiwijay.bsky.social @theisn.org
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Reposted
theisn.org
ISNkidneycare @theisn.org · Jun 30
Final Diagnosis
#ECNeph
@dramiliflores.bsky.social @karnephro.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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Reposted
karnephro.bsky.social
Shubharthi Kar @karnephro.bsky.social · Jun 30
👉 🫣 Can IF differentiate from Primary and Secondary MN?
IgG 4 is the dominant class in primary MN
👉 IgG1,IgG2, IgG3 are dominant Immunoglobulins in Secondary MN

#ECNeph
@theisn.org @myadla.bsky.social @dramiliflores.bsky.social @arvindcanchi.bsky.social
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jun 30
Paraneoplastic glomerulopathies
@karnephro.bsky.social #ECNeph @dilushiwijay.bsky.social @theisn.org
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jun 30
Some more info about PNS !
@karnephro.bsky.social #ECNeph @dilushiwijay.bsky.social @theisn.org
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myadla.bsky.social
myadla.bsky.social @myadla.bsky.social · Jun 30
@karnephro.bsky.social #ECNeph @dilushiwijay.bsky.social @theisn.org
Paraneoplastic glomerulopathy can occur before /sfter or simultaneously with the diagnosis of MN
Need for evaluation of cases of MN for underlying malignancy is suggested
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Reposted
theisn.org
ISNkidneycare @theisn.org · Jun 30
Primary vs Secondary Membranous Nephropathy #ECNeph
http://springer.com/...
@dramiliflores.bsky.social @karnephro.bsky.social
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