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Nephrology

Editor's Choice

Personalized dapagliflozin needed for type 2 diabetes and CKD

Dapagliflozin significantly reduces the urine albumin-to-creatinine ratio versus placebo in people with type 2 diabetes and chronic kidney disease, but the magnitude of the effect varies per person.

Combining SGLT2is, GLP-1 RAs, and nsMRAs in diabetes

Combination therapy is a cornerstone of type 2 diabetes management, but what’s known about the effects of combining SGLT2 inhibitors, GLP-1 receptor agonists, and nonsteroidal MRAs?

Managing congestion in cardiorenal syndrome

Clinical signs of cardiac congestion can be subtle. This review walks you through essential imaging techniques to identify congestion, clarify its origin, and guide the management of cardiorenal syndrome.

Minimum 3 years remission crucial for preserving renal function in LN

Three years is the minimum duration of sustained clinical remission needed to protect patients with lupus nephritis against impaired kidney function and damage accrual.

Sotagliflozin reduces MACE in high-risk type 2 diabetes

Dual SGLT1/2 inhibitor sotagliflozin significantly reduces major adverse cardiac events, including myocardial infarction and stroke, in people with type 2 diabetes, CKD, and high CV risk.

Add-on obinutuzumab improves response in lupus nephritis

Supplementing standard therapy with obinutuzumab significantly improves renal response in adults with active lupus nephritis.

Is abdominal pain signaling acute intermittent porphyria?

AIP can easily be overlooked in its early stages. When a patient presents with central, peripheral, or autonomic nervous system symptoms and common causes are ruled out, AIP should be considered.

Pediatric renal tumors: a state-of-the-art review

An in-depth analysis of the epidemiology, diagnosis, treatment options, outcomes, and survival of pediatric renal tumors, such as Wilms tumor, renal clear cell sarcoma, and malignant rhabdoid tumor.

Encouraging early results for cancer vaccine in RCC

A neoantigen-targeting personalized cancer vaccine has shown promising antitumor activity in people with high-risk, fully resected renal cell carcinoma.

Multimodality imaging features of systemic amyloidosis

Myocardial amyloidosis is often missed in the early stages. Understand the importance of multimodal imaging in diagnosing systemic AL amyloidosis, particularly when patients present with extra-cardiac symptoms.

New approaches to treat kidney injury after cardiac surgery

Post-surgical acute kidney injury is common after cardiac procedures. Despite some understanding of the mechanisms, there remains no effective treatment for prevention or management. Might new therapies in early clinical trials be the solution?

MASLD and CVD: a multifaceted association

Evidence is mounting for the significant association between metabolic dysfunction associated-steatotic liver disease and cardiovascular disease. Understand the specific relationships between MASLD and heart failure, atrial fibrillation, stroke, and peripheral artery disease. 

LADA and Graves disease preceded by minimal change nephrotic syndrome in childhood

A young woman diagnosed with minimal change nephrotic syndrome in childhood developed latent autoimmune diabetes in adults and Graves disease. HLA testing was performed to investigate her genetic background.

Focus on biliary and peribiliary cystic lesions and their mimics

Biliary and peribiliary cystic lesions are often discovered incidentally during imaging for unrelated conditions. Although typically asymptomatic, precise imaging is needed to characterize their nature and determine next steps.

A hypokalemic hypertension mystery

Reninoma should be considered in young people with hypokalemic hypertension when common causes have been excluded. Excision can cure hypertension and prevent morbidity and mortality.

Mortality risk greater with slow than rapid severe hyponatremia correction

Slow and very slow correction of severe hyponatremia are associated with an increased risk for death compared with rapid correction.

How do you identify children with cancer predisposition syndromes?

CPS are genetic disorders that significantly increase the risk of developing malignancies. The malignant features of CPS are well-studied, but recognizing their non-malignant features is crucial for early diagnosis in children and adolescents.

Urate lowering to target feasible in patients with gout and CKD

Urate-lowering therapy to below 6 mg/dL in people with gout and chronic kidney disease does not increase the risks for kidney disease progressing to severe or end-stage.

Extreme euglycemic ketoacidosis managed with hemodialysis

A patient with pancreatogenic diabetes developed life-threatening euglycemic ketoacidosis following re-exposure to an SGLT2 inhibitor and alcohol excess. Early renal replacement therapy was successful.

Survival advantage reaffirmed for hemodiafiltration in CKD

Hemodiafiltration is associated with significantly better survival rates than hemodialysis among people with kidney failure, with significant reductions in both all-cause and cardiovascular mortality.