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Jean Hou, MD
@JeanHouMD
Renal Pathologist at Cedars Sinai Medical Center. Views are my own.
1.1K Following 2.9K Followers 1.1K Posts
Latest posts 5
It was truly “kidneys in paradise”! Just keeps getting better every year… Aloha!
Huge thanks to all the faculty and participants who brought their expertise and heart to #GlomConHawaii! What an incredible community. Let’s keep being bold; better outcomes for our patients start with moments like this. 🙌
#RareKidneyDisease #Nephrology
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To BK or not to BK...THAT is the question! Surprise polyomavirus nephropathy on a routine 2 year protocol biopsy (with negative BK titers and normal renal function). It begs the question, should we just be ordering SV40 up front with ALL transplant biopsies? Thoughts? Opinions?
Tufts in Tubules: Fluffy casts with spiculated borders, Congo red positivity, and lambda LC restricted staining. Amyloidogenic LC cast nephropathy in a patient with multiple myeloma. Intratubular amyloid is a risk factor for systemic light chain amyloidosis (PMID: 29052601)
"A" is for ANCA... and for Amyloid! Middle-aged Hispanic female with NO history of HTN/DM but has CKD, presents with abrupt worsening of renal function and hematuria. Active crescentic GN (p-ANCA+), easy right? But wait... what's that smudgy stuff? SURPRISE! ALECT2 amyloidosis.
