Despite having predialysis nephrology care, it’s not uncommon to have dialysis start with a catheter or as an inpatient in Canada
pubmed.ncbi.nlm.nih.gov/40690294/ in @asnpublications.bsky.social #K360
Calling it (esp CVC start - who cares) suboptimal start is a bit of a stretch
#NephSky
ICYMI: great study by @hswapnil.medsky.social @sbrimble.bsky.social et al. 🇨🇦
includes an editorial now #openaccess 🤓😃🙏
Le 5 décembre j’ai soutenu mon Habilitation à Diriger les Recherches à @univ-amu.fr 😊
Un très bon moment et des discussions passionnantes avec un super jury d’experts @sburtey.bsky.social, @dguerrot.bsky.social , Agnès Trebuchon, Laetitia Koppe, Marion Pepin, Philippe Brunet et Jean-Louis Mège
Mesalazine crystals
Urine crystals in a patient with Crohn’s
Answer: www.kidney-international.org/article/S008... in @kidneyint.bsky.social
#NephSky
Got #KidneyWk FOMO like @nephroseeker.medsky.social ?
We got you covered with daily coverage of the simultaneous publications!
www.nephjc.com/news/kidneyw...
We uncovered a powerful type I interferon signature in #ANCA #vasculitis, especially in MPA, tied to kidney prognosis, and close to lupus nephritis. 🚀 This opens exciting perspectives for IFN–targeted therapies in vasculitis. Full results presented at #KidneyWk @asnkidney.bsky.social in a few hours!
Depuis la rentrée, j'ai une nouvelle casquette ! Je suis chroniqueuse dans le Mag de la santé sur France 5. A chaque fois, je démêle le vrai du faux de pratiques désignées comme alternatives. En voici une de la famille détox : le lavement au café ! Un conseil, continuez de le boire par le haut... ☕
Horisberger et al separate Lupus nephritis patients in 3 groups by blood:
healthy-like, interferon-dominant and CD8 T cell-dominant.
The CD8 T cell-dominant group had the highest biopsy activity score and highest response rate after 1 year; the healthy-like the most chronic damage. 🧪 ⑂ #NephSky
1/
Super proud to be part of this magical team led by ravindra mehta and marlies osterman marshalling us all to come up with these consensus statements about pregnancy associated acute kidney inhury PrAKI www.nature.com/articles/s41...
Awesome infographic on genetic testing in ADPKD by Neera Dahl, @pranavgarimella.bsky.social and Fouad Chebib www.kidneynews.org/view/journal...
Great quizz!
#Quiz from January 2022:
A 57-year-old woman presented with severe hypokalemia; the electrocardiogram showed sinus arrhythmia, flattened T waves, and prolonged QT interval of 667ms.
How should this patient be treated?
bit.ly/3pFr8au (FREE)
Very nice practical summary article
Amazing how far we have come with understanding the genetics behind Alport Syndrome and much of what we used to call “Thin Basement Membrane Disease”
> il faut des cardiologues avec de l'expérience et de l'expertise du sujet. Tous les cardiologues ne sont pas "insuffisant cardiologues" tout comme tous les cardiologues ne sont pas coronarographistes.
The proof is in the data: academic.oup.com/ndt/advance-...
Cysts are not caused by Alport syndrome, though patients with Alport syndrome can have cysts.
Nice review @glomcon.org
#MedSky #NephSky
pubs.glomcon.org/anticoagulan...
Clinical Spectrum and Prognosis of Atypical ADPKD Caused by Monoallelic Pathogenic Variants of IFT140
https://bit.ly/4h1uEDV
#VisualAbstract
bumetanide + acetazolamide + MRA is my prefered option by oral route
torsemide is not available in France ; The oral bioavailability of bumetanide is better than that of furosemide
more here (in french)
insuffisantcardiologue.com/2023/03/13/t...
L'interdiction des avortements aux USA s'accompagne d'une augmentation de la mortalité infantile de 5% soit 478 décès supplémentaires en qq mois. Ceci touche en premier les populations les plus fragiles. jamanetwork.com/journals/jam...
Figure 2. Sodium Content on Packaging in a Basket of Food Products in the Agincourt-Bushbuckridge by Wave and Legislative Target
From JAMA Cardiology:
South African regulations limiting sodium in processed foods were associated with reductions in sodium consumption and blood pressure among rural adults aged 40 years or older.
ja.ma/4hMWyUW
#CardioSky
Every week, I see a new study talking about this or that effect of GLP-1 receptor agonists like #ozempic. FINALLY, we have a study evaluating all the outcomes (good and bad) in one dataset. There are some... surprises. 🧵
A glycine substitution involving the distal exons had a negative impact on renal survival in patients with autosomal dominant #Alport syndrome. pubmed.ncbi.nlm.nih.gov/39810285/
Most kidney disease patients are still advised the OPPOSITE.
Important to know:
Low potassium intake is associated with worse CKD progression.
academic.oup.com/ndt/advance-...
Update- transdermal mGFR system is now FDA approved…
www.medibeacon.com/medibeacon-t...
Early Thrombotic Microangiopathy #TMA After #ABOIncompatible Living Donor Kidney Transplantation #LDKT
#VisualAbstract by @NephroSeeker
www.kireports.org/ar...
ICU Studies - Refresher:
Are you using the IVC diameter to "predict" if an ICU patient is "fluid responsive" (FR)?
This was an important multi-center descriptive study conducted during a 2-yr period in 5 French ICUs
540 ventilated patients w shock of various origins underwent
#Oxalatenephropathy associated with glyoxylate-containing hair-straightening products: a call for caution
doi.org/10.1016/j.kint.2024.09.015
Original article: doi.org/10.1016/j.kint.2024.07.032
#KICommentary #aki #acutekidneyinjury
Chronic Hyponatremia and Brain Structure and Function Before and After Treatment
https://bit.ly/3ZpTbLX
#VisualAbstract #OpenAccess
Oui fort heureusement !
Je ne penserai pas qu'on en parlerai un jour sur le ciel bleu. On a malheureusement eu deux patients hospitalisés en nephrologie il y a qq années avec ce type de lavement avec des insuffisances renales avec cristaux d'oxalate de calcium. Sans parler des rectites. jamanetwork.com/journals/jam...
