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🔗 www.docwirenews.com/journal/apri...
NO FOOLING ... Our April issue is here, featuring AI in kidney care, a Q&A with the new president of ANNA, research updates, and much more. #nephrology #nephsky

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The most classic #nephsky #nephmadness month of all is here…. & coincidentally, the most popular pick for @nephmadness.bsky.social champion is in fact, B-cell targets… over 400 brackets!, 🤓😃😅🙏
cc: @lauraratcliffe7.bsky.social

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This is no April Fool's joke - SCM26 is 35 days away! 😧

Join us in New Orleans for the latest in nephrology! Register today, with added value available for NKF Professional Members!

Secure your spot: bit.ly/4j9Nxa0

#NKFClinicals #Nephrology #KidneyHealth #NephSky

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🚨🚨🚨It is official!!!
Team Cat 🐈 has just won #NephMadness 2026 in the greatest upset of all time!!!
#NephSky

(April Fools)

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WCN26-2413 SYNERGISTIC EFFECTS OF TRF-BUDESONID AND SPARSENTAN IN IGA-NEPHROPATHY Sparsentan has emerged as a promising therapeutic option for IgA nephropathy (IgAN) while Targeted-release formulation (Trf-) Budesonid is an established treatment for patients with persistent protein...

This is not at all surprising, and it lends support for other combination therapies that have different mechanisms of action and targets. www.kireports.org/article/S246...

#NephSky #IgANephropathy #IgAN

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What Did FDA Find?
After reviewing postmarketing data from the applicant's submission (cases from their global safety
database), the literature, and the FDA Adverse Event Reporting System (FAERS) database, which has
been incorporated into the FDA Adverse Event Monitoring System (AEMS) database, through October 9,
2024, FDA identified 76 cases of DILI with reasonable evidence of a causal association with avacopan
use. A total of 74 cases reported a serious outcome, including hospitalization (n=54) and death (n=8). A
total of 60 cases provided laboratory information to determine the initial pattern of liver injury; the
majority (n=38) had a cholestatic or mixed pattern often marked by substantial elevations in ALP and
total bilirubin. A total of 73 cases provided 
In time from avacopan initiation to DILI onset, and the median
time-to-onset was 46 days (range 22 to 140 days). Most cases (n=66) were reported from Japan,
followed by the United States (n=5), Europe (n=4), and Canada (n=1).
Of the 76 cases, 7 reported biopsy-confirmed VBDS as a complication of DILI with reasonable evidence of
a causal association with avacopan use. All cases reported hospitalization (n=7), of which 3 had a fatal
outcome. The initial pattern of liver injury was cholestatic or mixed in 4 cases and hepatocellular in 3
cases. The median time from avacopan initiation to DILI onset among the 7 cases was 46 days (range 33
to 59 days). Cases were reported from Japan (n=6) and Canada (n=1).
FDA is continuing to monitor postmarketing cases of DILI, including VBDS, involving avacopan and will
provide updates as appropriate

What Did FDA Find? After reviewing postmarketing data from the applicant's submission (cases from their global safety database), the literature, and the FDA Adverse Event Reporting System (FAERS) database, which has been incorporated into the FDA Adverse Event Monitoring System (AEMS) database, through October 9, 2024, FDA identified 76 cases of DILI with reasonable evidence of a causal association with avacopan use. A total of 74 cases reported a serious outcome, including hospitalization (n=54) and death (n=8). A total of 60 cases provided laboratory information to determine the initial pattern of liver injury; the majority (n=38) had a cholestatic or mixed pattern often marked by substantial elevations in ALP and total bilirubin. A total of 73 cases provided In time from avacopan initiation to DILI onset, and the median time-to-onset was 46 days (range 22 to 140 days). Most cases (n=66) were reported from Japan, followed by the United States (n=5), Europe (n=4), and Canada (n=1). Of the 76 cases, 7 reported biopsy-confirmed VBDS as a complication of DILI with reasonable evidence of a causal association with avacopan use. All cases reported hospitalization (n=7), of which 3 had a fatal outcome. The initial pattern of liver injury was cholestatic or mixed in 4 cases and hepatocellular in 3 cases. The median time from avacopan initiation to DILI onset among the 7 cases was 46 days (range 33 to 59 days). Cases were reported from Japan (n=6) and Canada (n=1). FDA is continuing to monitor postmarketing cases of DILI, including VBDS, involving avacopan and will provide updates as appropriate

More badness uncovered here - today’s FDA warning

Some fatal case of DLI and several VBDS
They are recommending more frequent LFTs while starting Avacopan

www.fda.gov/media/191708...

This does not look good!

#NephSky

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Need a place to stay for SCM26? Book your reservation at the Sheraton New Orleans or New Orleans Marriott - now with more rooms available!

Learn more about SCM and the available hotels here: www.kidney.org/spring-clini...

#NKFClinicals #NephSky

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Shankland Lab members

Shankland Lab members

The UW Department of Medicine, Division of #Nephrology, has an outstanding opportunity for a full-time, temporary Research Consultant in the highly regarded Shankland Lab!! 🔬 🫘 #research #kidneys #nephsky
@uwdeptmedicine.bsky.social

wd5.myworkdaysite.com/recruiting/u...

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#MarchMadness #Nephsky

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Conventional cytotoxic chemotherapy-associated nephrotoxicity The sub-field of onco-nephrology has rapidly grown with the proliferation of highly effective cancer therapies and the remarkable improvement in patient survival. Conventional cytotoxic chemotherapy…

Conventional cytotoxic chemotherapy-associated nephrotoxicity
#nephsky

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#NephMaddness #NephSky Are you ready for some #BleRibbonFail 😂😂😂

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NephJC Covers LBCTs at the World Congress — NephJC The NephJC editors cover the simultaneous publication from the world congress

Covering the world 🌐 @hswapnil.medsky.social @nephroseeker.medsky.social
🧑‍💻Reporting in from Yokohama, Japan #ISNWCN 🌸
📰Read all about the late breaking news #NephJC #NephSky
www.nephjc.com/news/isnwcn-yokohama

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Techniques to predict survival outcomes in nephrology: basics and traditional methods Predicting survival outcomes is one of the most crucial tasks that nephrologists face. On an individual level, predicted survival times affect all aspects of decision-making, including the initiation…

Techniques to predict survival outcomes in nephrology: basics and traditional methods
#nephsky
#biostats

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Did you know that the “four-hit” hypothesis for IgA nephropathy #IgAN was first clearly articulated by Hitoshi Suzuki et al. in their 2011 J. Am. Soc. Nephrol. paper, “The pathophysiology of IgA nephropathy.”
#ISNWCN 🇯🇵 #WCN26 🇯🇵 #WCN2026 🇯🇵
#Nephpearls #NephSky

👉 pubmed.ncbi.nlm.nih.gov/21949093/

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Reduced podocyte stiffness is a feature of proteinuric kidney disease Proteinuria is a common and important manifestation of glomerular injury. Although the molecular events driving proteinuria have been studied extensively, the biomechanical changes that occur in the…

Reduced podocyte stiffness is a feature of proteinuric kidney disease
#nephsky

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Therapeutic targets 🎯and positioning of treatments in IgA nephropathy 🔬 #IgAN ca. 2026 from @kidneyint.bsky.social
#ISNWCN 🇯🇵 #WCN26 🇯🇵 #WCN2026 🇯🇵
#Nephpearls #NephSky

👉 pubmed.ncbi.nlm.nih.gov/41895685/

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Dogs versus cats may be the toughest choice this #NephMadness
Have you turned in your brackets yet #NephSky #MedSky ?

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Cancer Therapy and the Kidney The rapid evolution of anti-cancer therapies has significantly improved outcomes for patients with malignancies. However, these advances have also been accompanied by a rise in nephrotoxicity…

Review: Cancer Therapy and the Kidney
#nephsky

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PISCES: Fish-Oil Supplementation and Cardiovascular Events in Patients Receiving Hemodialysis ca. 2026 from @nejm.org
@asnkidney.bsky.social
#Nephpearls #NephSky

👉 pubmed.ncbi.nlm.nih.gov/41201837/
👉 www.kidneynews.org/view/journal...

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Unique aspects of the acute kidney injury associated with infections in the tropics: presentation, challenges and opportunities “The tropics” currently account for around 40% of the world’s population and face unique environmental challenges with limited resources, a deficient health system, a rudimentary sanitary…

Review: Unique aspects of the acute kidney injury associated with infections in the tropics: presentation, challenges and opportunities
#nephsky

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Hi, I’m Sruthi, Nephrologist from Kerala, India.
I’m into clinical medicine, research, and lately curious about AI.
Outside work, I enjoy time with family, art, and real conversations.
Here to learn, connect, and grow 🙂
#Nephsky #Nephbluesky #Medsky

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Bx for pt with AKI and nephrotic range proteinuria. Hx of IV drug abuse (with skin popping), and chronic staph infections. AA amyloidosis was the unsurprising finding. #renalpath #pathsky #nephsky

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There’s still time!
Turn in your #NephMadness 2026 brackets!! 🏀
#NephSky #MedSky
No bias here 😜@nephropocus.bsky.social

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Perrault Syndrome Unmasked: Genomic Reclassification of a Fabry-Like CKDx Phenotype A 30-year-old female was admitted to the nephrology ward for the evaluation of chronic kidney disease (CKD) of unexplained cause (CKDx), initially raising concern for Fabry disease. She had…

Case report: Perrault Syndrome Unmasked: Genomic Reclassification of a Fabry-Like CKDx Phenotype
#nephsky

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Efficacy and Safety of Atrasentan in Patients with #IgAN Receiving Sodium-Glucose Cotransporter 2 Inhibitors (SGLT2i) ca. 2026 from @asnpublications.bsky.social
#ISNWCN 🇯🇵 #WCN26 🇯🇵 #WCN2026 🇯🇵
#Nephpearls #NephSky

Photo Credit: @nephroseeker.medsky.social

👉 journals.lww.com/jasn/fulltex...

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Trying to catch up with #IgAN trials⁉️

Check out 👉 “IgAN: An Overview of the Clinical Trials” ca. 2025 from @kidneymed.bsky.social @haresh11.bsky.social @alexgr23.bsky.social @saynanorouzi.bsky.social
#ISNWCN 🇯🇵 #WCN26 🇯🇵 #WCN2026 🇯🇵
#Nephpearls #NephSky

👉 pubmed.ncbi.nlm.nih.gov/41050133/

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SGLT2 inhibition: Pleiotropic direct cardiac and kidney effects ⁉️
#ISNWCN 🇯🇵 #WCN26 🇯🇵 #WCN2026 🇯🇵
#Nephpearls #NephSky

👉🏼 pubmed.ncbi.nlm.nih.gov/35589167/

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The draft of the @kdigo.org 2026 Clinical Practice Guideline for Acute Kidney Injury and Acute Kidney Disease is now available for public review through 🗓️ April 27, 2026
#ISNWCN 🇯🇵 #WCN26 🇯🇵 #WCN2026 🇯🇵
#Nephpearls #NephSky

👉 kdigo.org/guidelines/a...
👉 FEEDBACK Form www.surveymonkey.com/r/GTGNFHG

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Recurrent pancreatitis and atypical hemolytic uremic syndrome (aHUS): an unusual presentation in childhood - Pediatric Nephrology Hemolytic uremic syndrome (HUS) is a thrombotic microangiopathy characterized by the classical triad of acute hemolytic anemia, thrombocytopenia, and kidney impairment. We report a 10-year-old boy…

Case report: Recurrent pancreatitis and atypical hemolytic uremic syndrome (aHUS): an unusual presentation in childhood
#nephsky

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Collaboration is the real innovation engine, across countries, disciplines, and perspectives 🫰

Global nephrology is not a concept… it’s happening here 🌏
#nephsky #medsky #isnwcn @theisn.org

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