Multiple diagnoses not uncommon in kidney biopsies. This case showed nodular diabetic nephropathy, a mostly chronic ANCA associated GN, and to top it off some interstitial ALECT2 amyloidosis. #renalpath#nephrology#PathTwitter
Capillary wall "eye-lashes" not always amyloid. Rare finding in a recent fibrillary case. IF = IgG. IHC = DNJAB9. Congo red (-). #renalpath#pathtwitter
Older patient with anasarca. Bx with massive glomerular amyloidosis - AH type. IF and EM reveal concurrent heavy chain deposition disease. Unusual dual diagnosis. #renalpath#nephrology#pathtwitter
AKi in a pt with recent contrast administration and antibiotic use. Features of contrast nephropathy and allergic interstitial nephritis. #renalpath#pathtwitter
A reminder that cryoglobulinemic glomerulonephritis can still occur post-HCV treatment. Biopsy for hematuria, proteinuria, and elevated sCr. Low c3/c4. +cryocrit and RF. #renalpath#pathtwitter
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