Tubular Biomarkers Reveal Hidden Kidney Damage in Long COVID
www.thailandmedical.news/news/tubular...
Tubular Biomarkers Reveal Hidden Kidney Damage in Long COVID
www.thailandmedical.news/news/tubular...
Membranous Nephropathy: Antigenic Landscape and a Novel Pathogenetic Model
#nephsky #nephrology
www.mdpi.com/1422-0067/27...
Great paper from @carafuentes-neph.bsky.social !!
Tackling #nephroticsyndrome from many angles, better treatments are on the horizon!
Congrats Gabriel & team!!!!
#FSGS #pediatricnephrology #NephSky #SkyNeph #humangenetics
@science.org
www.science.org/doi/10.1126/...
Finally the Hyponatremia Intervention Trial is published and it is a big disappointment
pbfluids.com/2026/03/fina...
graphical abstract
Hypertension Rounds: Familial Hyperaldosteronism Type IV in a Mother-Daughter Pair
academic.oup.com/ajh/article/...
GDMT for HFpEF and HFrEF
#Nephpearls #Cardiorenal #NephSky
ππΌ www.acc.org/Education-an...
State of the Art Review
Hypertensive Pregnancy Disorders: From Mechanisms to Management
academic.oup.com/ajh/article/...
Clinical course of proteinuria due to cubilin variants: a large multicenter pediatric cohort
@ped-neph.bsky.social
link.springer.com/article/10.1...
The conflict in Iran is disrupting fertiliser production and exports in the Middle East, tightening global supplies and raising fears of higher food prices, industry executives and analysts have warned. The Middle East is one of the worldβs largest fertiliser producers, while the Strait of Hormuz is a crucial shipping route for exports. About 35 per cent of global urea exports pass through the waterway, according to CRU data. Urea is the most widely used nitrogen fertiliser, which in turn underpins around half of global food production. The route also handles 45 per cent of global sulphur exports, a key ingredient used to produce phosphate fertilisers, as well as significant volumes of ammonia, a key ingredient for nitrogen fertilisers. βWe shouldnβt underestimate what this potentially could mean for global food production,β said Svein Tore Holsether, chief executive of Europeβs largest fertiliser group Yara. He added that the focus on oil and gas was βovershadowingβ the impact on the fertiliser industry. βIf youβre not getting [fertiliser] into the field of the farmers, yields could go down by up to 50 per cent in the first harvest,β he said. If the disruption continues, consumers could see higher prices for bread within six to 10 weeks, eggs within a few months and pork and broiler chicken within six months, estimates Raj Patel, food system expert at the Lyndon B. Johnson School of Public Affairs. Fertiliser prices have already jumped sharply. Granular urea prices in the Middle East have risen by about $130 to around $575-650 a tonne since Friday, while Egyptian export prices have climbed by around $125 to around $610-625 a tonne over the same period, according to Argus. European ammonia futures have also surged, with a 1,000 tonne April cargo trading at $725 a tonne β about $130 higher than when the contract last traded in mid-February.
Urea in fertilizers comes from natural gas?
www.ft.com/content/7efe... Fertiliser disruption from Iran conflict prompts global food shortage warnings
(Gated link - but see alt text for the details)
Tubular Stress Markers and Future Risk of Sepsis-Associated Acute Kidney Injury
#nephsky #nephrology
www.kidneymedicinejournal.org/article/S259...
Figure 1 Ten steps to achieve comprehensive medication management. Adapted from the Get the Medications Right Institute15 with permission of the copyright holder (Get the Medications Right Institute). Abbreviations: CMM, comprehensive medication management; OTC, over-the-counter.
Optimizing Comprehensive Medication Management in CKD: An Opportunity to Integrate Pharmacists in the Kidney Care Team
bit.ly/4u8FK1g
π in Nature Reviews Nephrology: our Review on social determinants of health & #AKI.
A π message: improving AKI outcomes requires more than better clinical careβit also requires confronting social, structural and environmental inequities.
π 10.1038/s41581-026-01063-3
#AKI #Nephrology #KidneyHealth
figure of albuminuria reduction with finerenone
Finally, FINEONE shows Finerenone
reduces albuminuria in T1DM
www.nejm.org/doi/full/10....
@nejm.org #NephSKy
Age is just a number, kidney transplant edition
An 87 year old transplant recipient
journals.sagepub.com/doi/10.1177/...
Can an ineffective intervention be cost-effective?
Cristina Popa breaks down the latest low protein diet proponents insipid attempt for a #NephJC Shorts
www.nephjc.com/news/2026/2/...
Saw in an ICU resident note today. "Anuric for one week, on AVVH at night but renal function is improving. eGFR and creatinine better". You could mock it but this is happening because we continue to report eGFRs in patients for whom it is completely inappropriate. #nephsky
While the volume of out-of-sequence transplants has increased rapidly, this has been particularly stark for unilateral out-of-sequence transplants. The rapid increase in this practice is hard to understand and counters the argument that out-of-sequence placements are necessarily due to organ quality concerns, given that a kidney from the same donor was successfully placed. Additionally, the rapid decrease in the sequence at which OPOs start out-of-sequence allocation, of kidneys across the KDPI spectrum, suggests an increasing level of comfort by the OPO community to use this pathway for organ placement despite the potential adverse consequences for patients who are skipped.8,15-19 Our results indicate that the increasing use of the out-of-sequence pathway is associated with inequalities in transplant outcomes and care, with recipients of unilateral out-of-sequence transplants having disproportionately higher rates of educational attainment, private insurance, and preemptive transplant than recipients of their unilateral in-sequence counterparts.7,11 Our results also suggest that there are inequalities among recipients of unilateral out-of-sequence transplants that are performed at the same center as its mate kidney, compared with recipients of unilateral out-of-sequence transplants performed at different centers, although the underlying reasons are still unclear.
The increasing numbers of βout of sequenceβ kidneys being allocated by certain OPOs
This is a scandal of unaccountable behaviour - and certain patients are benefiting while others are losing out of coming off dialysis
jamanetwork.com/journals/jam... from Sumit Mohan and colleagues in JNO
SGLT2 inhibitors in adult patients with Alport Syndrome
#nephsky #nephrology
www.kireports.org/article/S246...
Figure 1 Flowchart integrating ADA 2025 screening recommendations, ATP III criteria, and OGTT-based risk stratification for future diabetes risk among living kidney donor candidates.
Online & in press! "Personal Viewpoint: Risk stratification and counseling of living kidney donor candidates with prediabetes," by Achkar et al
www.amjtransplant.org/article/S160...
@katafanachkar.bsky.social
#NephMadness 2026: Animal House Region
Teams: Dogs vs Cats
Experts: Autumn Harris & Kelly Hyndman
Writers: Sarah Street & Susan DiGiovanni
Execs: @kidneywars.bsky.social & @nephrosparks.bsky.social rks.bsky.social
bit.ly/NM26Animals
Image Quiz! A patient underwent renal transplantation 3 weeks earlier, subsequently developed oliguria, and was found to have circulating donor specific antibodies. Kidney biopsy was performed, and immunofluorescence for C4d is shown. What does the image demonstrate?
(Continued in thread)
Use of auto BP devices is rec'd by guidelines but many still measure BP manually. In this preprint, we categorize BP device based on terminal digit (manual BP results in even # terminal digits). Manual BP ~6mmHg lower and associated with 1.16x stroke risk vs automated www.medrxiv.org/content/10.6...
This story is nuts
The journal βPediatrics and Child healthβ has been published an article type, for case reports, that are made up and fictional without having any clear notice π±
retractionwatch.com/2026/03/03/c...
In a 23yo M with proteinuria, hematuria and CKD, what is your diagnosis?
#DiagnoseThis #nephsky #pathsky #renal #kidneypath
Bone marrow-derived inflammatory signals may shape glomerular disease in ways that we are only beginning to understand. Read this article in #ASNKidneyNews following one of the most prominent and debated candidates, suPAR: kidney.pub/KN1802-15
Do you check labs after starting SGLT2i in CKD patients?
What % of pts drop eGFR >30% after starting SGLT2i?
What are the usual causes if that happens?
Do you know of any studies that specifically looked at that?
@askrenal.bsky.social #flozinators
NephMadness brackets
Some of these are easy (Targeted B cell >>> complement in IgA) so unless #BRPFail we should be OK
Many others are hard
And
π πΆ versus π π± πββ¬??
Thatβs madness. True #NephMadness π«‘
Autosomal dominant polycystic kidney disease - The Lancet - goo.gl/alerts/z9EVkq #GoogleAlerts
βοΈ
I would love to see an RCT of Phox vs no Phox or even a redo of the high intensity trials using a Phos-containing fluid. There is just so much evidence that zero-phos fluids are bad for you. Also, please someone give us a Phox with dextrose. #medsky #nephsky