After some discussion from the NEJM’s Image Challenge from several weeks ago. I decided to very quickly discuss the difference between Terry’s nails, Lidnsay’s nails, and Meurcke’s bands. The lunula (latin for “little moon”) is the hypopigmented semi-circle located at the base of the nail bed and is abnormal or obliterated in several conditions. …
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At the moment we don’t have clinically available serologic markers of disease activity for membranous nephropathy (PLA2R is in the pipeline) so we have to rely on clinical factors to predict prognosis. Above is a chart that lists the factors associated with Progression and strength of the associated (PPV). Source: Comprehensive Clinical Nephrology, 4th Edition.
“What should I eat?” And “Should I avoid protein since I’m losing it in my urine?” These are questions that I often hear my patients with nephrotic syndrome ask. So today I decided to do a quick review to answer those questions in the clinic and on the wards. Sodium Sodium restriction has been shown…
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Great Alport’s Syndrome and TBM Nephropathy
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