@kdjhaveri
Kenar Jhaveri
3 years
Short tweetorial on Renal Amyloidosis #onconephrology 1) Not all amyloidosis is AL
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@kdjhaveri
Kenar Jhaveri
3 years
2) Not all amyloidosis is glomerular
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@kdjhaveri
Kenar Jhaveri
3 years
3) the basic pathology of renal amyloidosis- Congo Red and Fibrils that are randomly arranged
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@kdjhaveri
Kenar Jhaveri
3 years
4) Basic workup of Amyloidosis @NDTsocial @priyadRenal
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@kdjhaveri
Kenar Jhaveri
3 years
5) AA amyloid= inflammation Slide courtesy @VBijol
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@kdjhaveri
Kenar Jhaveri
3 years
6) Checkpoint inhibitors can do it as well-- @renalmyeloma @Sebi_Lapman
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@kdjhaveri
Kenar Jhaveri
3 years
7) Remember the MGUS trap
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@kdjhaveri
Kenar Jhaveri
3 years
8) Proteins that cause familial forms of amyloidosis are transthyretin (TTR), apolipoprotein-AI, apolipoprotein-AII, gelsolin, fibrinogen Aα-chain, lysozyme, leukocyte chemotactic factor 2 (LECT2)
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@kdjhaveri
Kenar Jhaveri
3 years
9) TTR amyloidosis- Peripheral neuropathy and cardiomyopathy are broadly described, and insights into disease reveal that kidney impairment and proteinuria are also clinical features( but very rare)
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@kdjhaveri
Kenar Jhaveri
3 years
10) TTR amyloidosis treatment causes anca vasculitis Inotersen, a 2′-O-methoxyethyl–modified antisense oligonucleotide, inhibits hepatic production of transthyretin Not with Patisiran (IV or SQ) and Tafamidis( Oral)
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@kdjhaveri
Kenar Jhaveri
3 years
11) Workup of Amyloidosis
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@kdjhaveri
Kenar Jhaveri
3 years
12) golden figure
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@kdjhaveri
Kenar Jhaveri
3 years
13) Remember the new Leukocyte chemotactic factor 2 (LECT2) amyloidosis:
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@kdjhaveri
Kenar Jhaveri
3 years
14) Most common renal genetic amyloidosis is Fibrinogen A alpha chain -- recurrent risk high post renal transplant- need liver-kidney
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@kdjhaveri
Kenar Jhaveri
3 years
15) Picture says thousands words- Not all amyloid in the kidney is AL or AH--- -end
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@aishaikh
Aisha Shaikh
3 years
@kdjhaveri It was a wonderful talk, really enjoyed it
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@kdjhaveri
Kenar Jhaveri
3 years
@aishaikh Thanks!
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@ginaguerrerob
Gina
3 years
@kdjhaveri AA could be Also due to diabetes ? 🤔
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@kdjhaveri
Kenar Jhaveri
3 years
@ginaguerrerob Yes.. it has been reported.. look at this study can't say cause and effect as it was an autopsy study
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@mardmeul
Marieke Demeulenaere
3 years
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@sofie_dhaese
Sofie Dhaese
3 years
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