This month I will focus in on some intriguing medication induced renal complications. The first one is another one of those “you know” moments from nephrology fellowship almost 40 years ago today. I had a mid 30-year-old business executive who had a 20 year history of diabetes that had been neglected. She presented with farContinue reading “AOTW Heparin Hyperkalemia”
Category Archives: Uncategorized
AOTW Hypophosphatemia
The first article that I could find was written by Lotz in 1964 Trans Assoc Am Physicians titled “osteomalacia and debility resulting from phosphorus depletion”. I was unable to generate this article. One of the first papers to address this issue in clinical patients was authored by a young Jay Stein and his professors in Oklahoma City inContinue reading “AOTW Hypophosphatemia”
AOTW IgG4
First, I’ll relate a true story from at least 15 years ago. I was asked to see a middle aged male patient with fibrosing mesenteritis (who ever heard of this?) for slowly worsening renal function. I don’t remember what therapy he had tried. I think it was some combination of steroids and Tamoxifen. Colchicine mayContinue reading “AOTW IgG4”
AOTW Fibrillary GN
Not all fibrils seen in glomerular disease are amyloid fibrils. Fibrillary glomerulonephritis is a rare glomerular disease that was first described by Rosenmann and Eliakim in a 1977 Nephron article. I am trying hard to get the original article (old Nephron papers are not an easy get). The abstract is available from the article named Nephrotic SyndromeContinue reading “AOTW Fibrillary GN”