🔥 Myeloma light chain cast nephropathy is the most common cause of AKI in MM
💡It is a Myeloma defining event
⭐️👇Follow these 6 easy steps to manage MCN
Check out the exciting infographic by
@JasmineNephro
Full paper by
@VincentRK
Dr Leung
doi: 10.1038/s41408-023-00806-w.
🔥🔥How to treat myeloma cast nephropathy MCN
💡Hydration
👍Borte must as part of chemo
🌟Rapid FLC reduction a/w better renal outcome
🙏Severe AKi-triple/quadruple therapy must 🌟
⭐️Dara has ⬆️response rate in MCN
Talk
@Chintan_Shah26
@kdjhaveri
@kkalra_22
@JasmineNephro
1/14 🚨ASON Tweetorial Alert
‼️Magnesium the “forgotten ion” – Do you check serum Mg in patients receiving chemotherapy?
Today we will talk about Mg disturbances in cancer patients. A recent review article by
@bdubNephro
@nupuruppal
@kdjhaveri
@NephroMD
1/20
⏰One of the wake up calls for a nephrologist at 3 am is, “Hi there! We have a case of hyperkalemia with a K of 9. Medically managed before. No response. Need dialysis”
📙I am sharing one such story today with you, but this is interesting!
@TheBeaniac
Immune check point inhibitors associated AKI ( ICPi-AKI)
⭐️Most common histological finding-ATIN
🔥Risk factors- low baseline eGFR, prior use of PPI
👁️Majority recover. Patients treated with early steroid initiation recover better
Talk by
@ShrutiGkidney
Monoclonal gammopathy of renal significance (MGRS): Real‐world data on outcomes and prognostic factors - Gozzetti - 2022 - American Journal of Hematology
Chemotherapy drug induced TMA
🔥Renal limited >than systemic
🔥Suspect when the patient develops new onset hypertension/proteinuria/ renal dysfunction
‼️Differentiate drug induced from cancer related TMA
Interesting talk by
@renalmyeloma
@kdjhaveri
@drshyambansal
@BetterCallSeeth
🔥Interesting case discussion of PGNMID/MGRS
by
@MayuriTrivedi80
What next after diagnosis
1️⃣Identify the clone (SPEP/SIFE/FLCA/bone marrow)
Marrow must except CLL
2️⃣Clone directed therapy
🤷♀️MGRS with advanced CKD- treat if extrarenal involvement or Transplant prospect
1/15 🚨ASON Tweetorial Alert
‼️Magnesium the “forgotten ion” – This is the second part of our tweetorial on hypoMg in cancer patients
A recent review article by
@bdubNephro
@nupuruppal
@kdjhaveri
@NephroMD
❓How long does Cisplatin-induced hypoMg last
🔥Early diagnosis of AL amyloid is crucial
Always examine tongue in a patient of nephrotic syndrome
Dr Nelson Leung
🔥Tongue ridging at the edges suggests macroglossia
📢An important case-based clinical discussion on "Bevacizumab Associated Proteinuria and Hypertension". Don't miss it! Get ready to attend on September 9, 2022 between 12-1 pm EST. Further details available on .
nephrotoxicity of bortezomib: did we miss a complication after 20 years of use and multiple landmark trials? | Nephrology Dialysis Transplantation | Oxford Academic
The Association Between the Urine Protein-to-Albumin Gap and the Diagnosis of Multiple Myeloma: A Population-Based Retrospective Cohort Study
@OttawaRenal
🔥TMA talk by
@ChangUCanSpare
#ASON2023
🥶aHUS is masquerador in medicine( others-TB/HIV/SLE)
✅Schistocyes absence does not rule out TMA
🔥TMA can present with systemic organ damage-cardiac/cns/pancreatitis
Extremely insightful and thought provoking lecture by
@DrTariqShafi
.
🙌 Race has no effect on measures GFR
💥Cystatin C is not the perfect replacement !!
@ASON_Live2023
#ason2023
Crescentic fibrillary glomerulonephritis in the setting of immune checkpoint inhibitor therapy: a report of two cases - Abstract - Glomerular Diseases - Karger Publishers
Heavy Chain/ Light Chain (HLC) Antibody Immunofluorescence to Identify Monoclonal Plasma Cells in a Case of Plasma Cell-Rich Acute Interstitial Nephritis -
@KidneyMed
SHOULD WE PERFORM KIDNEY TRANSPLANTS IN RECIPIENTS WITH A PRETRANSPLANT CANCER DIAGNOSIS ? Find out more by registering for the webinar!!
@ISNkidneycare
@ISNeducation
Chapter 3: Management of kidney injury caused by cancer drug therapy, from clinical practice guidelines for the management of kidney injury during anticancer drug therapy 2022 | SpringerLink
1/15 🔊 ASON Tweetorial Alert:
👉 Did you know that patients with kidney disease have a ↑ mortality risk from cancer?
👥 Let's discuss the evidence from a recent paper by Dr. Kitchlu
@onconeph
, et al on this subject.
‘other’ big complication: how chronic kidney disease impacts on cancer risks and outcomes | Nephrology Dialysis Transplantation | Oxford Academic
@NDTsocial
1/13
Welcome back to
@onconephsociety
tweetorial 🙌!
❓Does the incidence, severity and recovery of AKI differ between Pembrolizumab (Pzb) mono vs combo Rx in pts with advanced lung Ca?
👉This was answered by the 🔥 work by
@ShruthiGkidney
et al
Monoclonal gammopathy of renal significance presenting with cryoglobulinemia type I associated severe thrombotic microangiopathy | Clinical Kidney Journal
@CKJsocial
Defining new reference intervals for serum free light chains in individuals with chronic kidney disease: Results of the iStopMM study | Blood Cancer Journal