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Thomas Stehlé

@tstehle

Néphrologue HU Henri Mondor

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08.12.2023
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Latest posts by Thomas Stehlé @tstehle

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A Randomized Trial of Targeted Hyponatremia Correction in Hospitalized Patients Chronic hyponatremia is associated with adverse outcomes, including falls, neurocognitive disorders, and mortality, but whether hyponatremia itself increases morbidity and mortality, or is simply a...

The HIT (Hyponatremia Intervention Trial) is finally out!
#hyponatremia #nephrology

evidence.nejm.org/doi/10.1056/...

08.03.2026 01:00 👍 6 🔁 5 💬 1 📌 0
Graphical abstract

Graphical abstract

Very cool

Enteric coated budesonide also reduces albuminuria, and GFR remains stable in #IgAN

Single arm prospective study from India in KI Reports

www.kireports.org/article/S246...

07.03.2026 16:29 👍 19 🔁 5 💬 2 📌 1

CT-based myosteatosis and muscle mass are increasingly studied in Nephrology
How should these measures be interpreted? Physiological thresholds (age, sex, population) vs arbitrary historical cutoffs?
This echoes the long-running debate on GFR thresholds to define CKD
journals.lww.com/cjasn/citati...

20.02.2026 23:28 👍 2 🔁 0 💬 0 📌 0
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GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD Opportunistic computed tomography (CT)-based screening is the practice of exploiting incidental imaging data for prevention, risk profiling, or presymptomatic detection of relevant disease unrelated…

GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD

bit.ly/3XsLlQY #OpenAccess

17.02.2026 23:00 👍 0 🔁 2 💬 0 📌 0
Oxalate Nephropathy & Renal Embolic Disease Collision Case | Collidescope Episode 10
Oxalate Nephropathy & Renal Embolic Disease Collision Case | Collidescope Episode 10 Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

What happens when oxalate nephropathy & renal embolic disease interact? How does this interaction impact kidney function? Find out the answer in our latest #Collidescope episode!

#renalpath #kidneypath #pathsky #renalsky

11.02.2026 17:04 👍 1 🔁 2 💬 0 📌 0

The article referred to seems to not be online yet. If the P30 of tGFR is 94%, this could be considered disappointing. An eGFRcr-cys with this level of accuracy is not uncommon. Comparing new mGFR methods with eGFRcr-cys is essential. This is what we did for CT-mGFR.
www.ajkd.org/article/S027...

22.01.2026 08:29 👍 2 🔁 0 💬 0 📌 0
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Résister à Trump au Groenland : la doctrine Muselier Il existe un moyen de répondre à la nouvelle doctrine Monroe. Alors que les dirigeants européens hésitent à condamner le néo-impérialisme américain de peur de froisser l’allié militaire en Ukraine, l...

« [...]et il ne resterait d’autre solution pour les démocrates que de mourir. Notre sang tacherait l’histoire, la démocratie serait notre linceul et notre tombe.» legrandcontinent.eu/fr/2026/01/1...

10.01.2026 06:40 👍 11 🔁 8 💬 1 📌 3
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Kappa-type light chain proximal tubulopathy
On EM, low mag shows membrane-bound crystalline-like cytoplasmic inclusions but up close has fibrillar appearance.
🔹Congo-red is negative
🔹Reported w/ MGUS, MM, & lymphoma
🔹Most had fanconi syndrome
#MGRS #renalpath #pathsky #nephsky #nephrology
(1/2)

26.12.2025 22:36 👍 3 🔁 4 💬 2 📌 0
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Nephrology Image
Mesalazine crystalluria

doi.org/10.1016/j.kint.2025.06.027

#MedSky #NephSky #lithiasis #mesalazine

10.12.2025 22:18 👍 2 🔁 3 💬 0 📌 0
Mesalazine crystals

Mesalazine crystals

Urine crystals in a patient with Crohn’s

Answer: www.kidney-international.org/article/S008... in @kidneyint.bsky.social

#NephSky

19.11.2025 17:40 👍 9 🔁 6 💬 0 📌 0

GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD

bit.ly/3XsLlQY #OpenAccess

13.11.2025 23:01 👍 1 🔁 1 💬 0 📌 0

@hophenrimondor.bsky.social @ap-hp.bsky.social

12.11.2025 18:28 👍 0 🔁 0 💬 0 📌 0

- Hybrid GFR, defined as the mean between CT-mGFR and eGFRcr-cys would be even more accurate.
These results open up new perspectives, particularly for patients with kidney cancer or urothelial carcinoma.

12.11.2025 18:28 👍 1 🔁 0 💬 1 📌 0

Measuring GFR using CT urography performed as part of routine care is possible not only in healthy individuals, but also in patients with CKD.
In this study, we demonstrate that:
- GFR measured by CT is more accurate than GFR estimated from creatinine, cystatin C, or both (eGFRcr-cys).

12.11.2025 18:28 👍 0 🔁 0 💬 1 📌 0
GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD Opportunistic CT-based screening is the practice of exploiting incidental imaging data for prevention, risk profiling, or presymptomatic detection of relevant disease unrelated to the purpose for whic...

GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD - American Journal of Kidney Diseases www.ajkd.org/article/S027...

12.11.2025 18:28 👍 7 🔁 2 💬 1 📌 0
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#LiverCyst #Infection Outcomes in Patients With Autosomal Dominant Polycystic Kidney Disease #ADPKD

#VisualAbstract by Kajaree

https://www.kireports.org/article/S2468-0249(25)00671-0/fulltext

10.11.2025 14:01 👍 2 🔁 4 💬 0 📌 0
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T50 and Calcification Progression in Kidney Transplant Recipients: Does it have to be “bad” to be useful? The increased risk of cardiovascular disease (CVD) among kidney transplant recipients (KTR)1 is challenging for the treating physician. For KTR, CVD risk remains higher than for individuals with simil...

A little opinion piece on the relationship between serum calcification propensity (T50) and progressive CAC in kidney transplant recipients 🤓
www.kireports.org/article/S246...

27.09.2025 09:27 👍 2 🔁 1 💬 0 📌 0
JLE - Néphrologie & Thérapeutique - Il était une fois en néphrologie - Épisode 2. Une petite histoire du dosage de la créatinine

www.jle.com/10.1684/ndt....

26.09.2025 09:13 👍 2 🔁 1 💬 0 📌 0
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Check out the new KDIGO IgAN/IgAV Guideline Key Takeaways!

IgAN: kdigo.co/KDIGO-IgAN-G...

IgAV: kdigo.co/KDIGO-Guidel...

These resources are designed to provide clinicians with quick and practical access to the most important points from the new KDIGO guideline on managing #IgAN and #IgAV.

25.09.2025 17:19 👍 3 🔁 1 💬 0 📌 0

Congratulations to Michael Moryoussef for this first original study, to Antoine Morel, the statistician in chief for this work ;-), and to all the co-authors.

18.09.2025 14:00 👍 1 🔁 0 💬 0 📌 0

In addition to diabetes and male gender, we identified myosteatosis and low muscle mass as predisposing factors. Visceral and subcutaneous fat mass were not determinants of the low ratio.

18.09.2025 14:00 👍 0 🔁 0 💬 1 📌 0

We show that a low eGFR ratio is associated with the occurrence of major cardiovascular events, whether using CKD-EPI or EKFC equations.

The originality of this study also lies in our attempt to identify the determinants of such a low ratio by including body composition data in the analyses.

18.09.2025 14:00 👍 0 🔁 0 💬 1 📌 0

Very pleased to share this publication from @hophenrimondor.bsky.social .
A low eGFRcys/eGFRcr ratio is increasingly recognized as a risk factor for morbidity and mortality, including CV events.
However, there was little or no data available on kidney transplantation.

18.09.2025 14:00 👍 0 🔁 0 💬 1 📌 0
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Low Cystatin C–to–Creatinine Estimated GFR Ratio Predicts Post–Kidney Transplant Cardiovascular Events A low cystatin C–based to creatinine-based estimated glomerular filtration rate (eGFR) ratio (eGFRcys/eGFRcr) is associated with poor clinical outcomes, but data in kidney transplant recipients (KTRs)...

Low Cystatin C–to–Creatinine Estimated GFR Ratio Predicts Post–Kidney Transplant Cardiovascular Events - Kidney International Reports www.kireports.org/article/S246...

18.09.2025 14:00 👍 4 🔁 1 💬 2 📌 0
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Nice example of urate crystals in gouty tophi involving the medulla. Polarizable crystals can be see using unstained sections from the IF tissue. #renalpath #pathsky #nephsky

28.08.2025 19:04 👍 10 🔁 3 💬 1 📌 0
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The Maltese Cross 🇲🇹🛡️sign is not unique to lipids, other structures can manifest it under polarized light (eg, starch, leucine crystals). Here, a rare sighting of a cast containing suspected ciprofloxacin crystals. #UrinarySediment #UrineMicroscopy #PisseProphet

28.07.2025 16:26 👍 6 🔁 3 💬 1 📌 0

Bravo Antoine pour cet édito avec deux co auteurs prestigieux !

30.06.2025 09:41 👍 2 🔁 0 💬 0 📌 0
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La coordination de prélèvement d’organes était hier au marché de Créteil pour la Journée Nationale Du Don d’organes. Rendez-vous ce mercredi 25 juin à l’hôpital Henri-Mondor, hall principal, de 9h à 16h30 pour en savoir plus et se sensibiliser !
@ap-hp.bsky.social

23.06.2025 14:43 👍 2 🔁 1 💬 0 📌 0
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Needle selection in kidney biopsy requires balancing risk of complications with benefit of obtaining diagnostic tissue. Study shows that higher needle gauge provides more tissue for diagnosis but might be associated with greater risk of complications. https://bit.ly/KID0835
#ASNKidney360

05.06.2025 18:29 👍 3 🔁 2 💬 0 📌 0