ASN Policy and Advocacy
A Message from ASN President
Prabir Roy-Chaudhury, MD, PhD, FASNASN President Prabir Roy-Chaudhury, MD, PhD, FASN shares his thoughts on advocating for policies that support people living
with kidney diseases, health professionals, and researchers, and outlines several recent and future ASN advocacy efforts.
Kidney Week 2025
Plan Your Travel to Kidney Week 2025
Start planning your trip to the U.S. with visa information, international travel tips, and the ASN invitation letter.
New nephSAP Issue
Primary and Secondary Glomerular Diseases
The latest Nephrology Self-Assessment Program (nephSAP) issue,
Volume 24: Issue 1 (Mar 2025): Primary and Secondary Glomerular Diseases, is now available online.
ASN Council Election
Submit Your Nominations
ASN seeks nominations for the annual election of the ASN Council, the society's governing board.
Qualified candidates should have the vision, experience, and expertise to guide the society towards
its goal of creating a world without kidney diseases. The deadline to submit your nomination
is Friday, April 18.
Board Review Course & Update
Face the Boards with Confidence
Board Review Course & Update (BRCU) is designed to help you prepare for the ABIM Nephrology Board
certification and recertification exams. This year's live course in Chicago, IL will help you stay engaged with
clinical buying from online mexican pharmacy discussions, relevant physiology and pathophysiology information, and essential updates.
World Kidney Day
#SockItToKidneyDisease
In celebration of World Kidney Day, and in conjunction with NU GoKidney, ASN encourages you
to participate in the #SockItToKidneyDisease campaign by posting your socks on social media.
Strategies for Optimizing AKI Recovery
New Guidance on Outpatient Management
of Dialysis-Requiring AKIDiscover essential steps to improve patient outcomes, individualize patient care and optimize recovery
through early intervention with Kidney Health Guidance.
Emergency Response and Recovery
How to Help People in Los Angeles, California,
Particularly Those with Kidney DiseasesASN has partnered with Direct Relief to establish a fund to support the provision of medicines and supplies to people with
kidney diseases, their families, and their caregivers affected by the devasting wildfires in Los Angeles, California.
U.S. Department of Health and Human Services (HHS)
Winners of $7.25 Million KidneyX
Sustainability Prize AnnouncedThe U.S. Department of Health and Human Services (HHS) recently announced the winners of the
KidneyX Sustainability Prize, which is designed to incentivize development of solutions to reduce
water or power usage during dialysis care.
Membership
Renew Your Membership
Renew your membership now for 2025,
and maintain all of the great ASN benefits.
Kidney Week 2024
Kidney Week On-Demand™
Kidney Week On-Demand™ is now available and provides online access to approximately
200 hours of Annual Meeting presentations from Kidney Week 2024, including plenary sessions,
basic and clinical science sessions, clinical practice sessions, special sessions,
and translational sessions.
AGB Mexico Pharm
A World Without mexican drug stores online
ASN represents more than 21,000 kidney health professionals working to help people with kidney diseases and their families. Comprised of all of ASN's focus areas, the ASN Alliance for Kidney Health allows the society to continue its growth and work towards the goal of a world without kidney diseases.
Alliance
Face the Boards with Confidence
Prepare for the Boards
Registration is open for Board Review Course & Update 2025, an interactive review to prepare for the ABIM Nephrology Board certification and recertification exams.
read more
Renew Your ASN Membership for 2025
Be a Part of ASN
Renew your membership for 2025, and maintain all of your great ASN member benefits, including journal subscriptions, educational discounts, networking opportunities, and more.
read more
Kidney Week On-Demand™ Is Now Available
Discover Content
Kidney Week On-Demand™ provides access to 200+ hours of presentations from Kidney Week 2024, including plenaries, basic and clinical science, clinical practice sessions, and more.
read moreLatest nephSAP: March 2025
The latest Nephrology Self-Assessment Program (nephSAP) issue, Volume 24: Issue 1 (Mar 2025): Primary and Secondary Glomerular Diseases is now available online.
RE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 5 hours ago
Biopsy might identifying renal disease related to MM which justify treatment. We have seen light chain tubulopathy with minimal or no proteinuria. ...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 6 hours ago
It would be unusual for such as slow progression. ------------------------------ Nelson Leung MD Mayo Clinic Rochester MN (507) 208-1459 --------...
View DiscussionRE: Double positive ANCA MPO and GBM rapid progressive renal failure 6 hours ago
Dear all, I will like to ask your help with this patient. She is still in remission only with induction treatment that i previous described. The...
View DiscussionRE: management of failing rensl transplsnt with suspected nephrotic syndrome, active malignancy and dropping haemoglobin 9 hours ago
I agree fully with Dr. Rodby and Dr. Rubin on the importance of "team management" in this complex case. The patients desires and wishes for future ...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 10 hours ago
Dr. Leung. Thanks . Just curious. Why would you not consider this case as having Light Chain Cast Nephropathy secondary to a light chain MM? ----...
View DiscussionRE: management of failing rensl transplsnt with suspected nephrotic syndrome, active malignancy and dropping haemoglobin 10 hours ago
@Roger Rodby Thank you for asking my opinion. This is clearly a complex case which requires expertise and team effort. It cannot and should not b...
View DiscussionRE: management of failing rensl transplsnt with suspected nephrotic syndrome, active malignancy and dropping haemoglobin 11 hours ago
"Actually with active cancer now, he's not a candidate for future Transplant anymore and we will be managing him most likely in future" I would s...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 13 hours ago
Thanks @Richard Glassock. It depends a lot on whether this patient is a good candidate for chemotherapy. With little albuminuria, I would probably ...
View DiscussionRE: management of failing rensl transplsnt with suspected nephrotic syndrome, active malignancy and dropping haemoglobin 13 hours ago
With a creatinine of 5 his urine ratios are unlikely to be reliable. However he does have hypoalbuminemia. I would not be keen on further immunosup...
View DiscussionRE: management of failing rensl transplsnt with suspected nephrotic syndrome, active malignancy and dropping haemoglobin 1 day ago
Actually with active cancer now, he's not a candidate for future Transplant anymore and we will be managing him most likely in future -----------...
View DiscussionRE: management of failing rensl transplsnt with suspected nephrotic syndrome, active malignancy and dropping haemoglobin 1 day ago
With all due respect to the sincere attention you are giving him, Why are you trying to manage this, shouldn't his transplant center team take c...
View Discussionmanagement of failing rensl transplsnt with suspected nephrotic syndrome, active malignancy and dropping haemoglobin 1 day ago
African-American gentleman. Age 77, got kidney transplant in April, 2017 because of probable hepatitis C virus associated glomerulonephritis and ty...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 1 day ago
This thread began with a question about possible contraindications for kidney biopsy in the presence of asymptomatic bacteruria and pyuria. In my o...
View DiscussionRE: Nephrotic range proteinuria associated with cGVHD 2 days ago
Hello everybody. I apologize for answering after such a long time. To answer the questions that you asked me, the patient did receive Tacrolimu...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 2 days ago
I agree with the comments about myeloma and biopsy reiterate that from what I think we've been told the protein in the urine is albumin suspe...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 2 days ago
Thanks Dr. Leung. If you think this is a LC MGUS, with a serum creatinine at the 3 level, but with little albumin in urine would you still do a kid...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 2 days ago
In general the relation between CFHR deletions and complement mediated HUS is through the production of anti CFH antibodies. I am not aware of any ...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 2 days ago
As Dr. Rodby and others have said, if this multiple myeloma, a biopsy is probably not going to change the management unless it is amyloidosis which...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 2 days ago
What was the initial serum kappa free light chain level? If over 500mg/L the diagnosis of Myeloma Cast Nephropathy is very likely. This patient nee...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 2 days ago
If a diagnosis of MM is made I do not see a reason for a kidney biopsy bc the treatment is for MM, not the pattern of renal involvement. Havin...
View DiscussionRE: AKI, urinary K Wasting and uncontrolled HTN 2 days ago
You can continue spironolactone and even escalate the dose to 50 mg /day as far as serum K [More]
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 2 days ago
Although her A1C is 5.8, however, her OGTT is within normal limits and has no evidence of increased risk for diabetes as evidenced by calculated an...
View DiscussionRE: AKI, urinary K Wasting and uncontrolled HTN 2 days ago
This elderly patient presents with recent worsening kidney function, accelerated hypertension with spontaneous hypokalemia suggesting possibly seco...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 2 days ago
I strongly recommend biopsy in this case if he can safely be taken off of his anti-platelet agents for the following reasons: The diagnosis of m...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 2 days ago
The most recent KDIGO guidelines recommend using a risk calculator to assess the donor's risk and having a cut-off acceptable to the individual cen...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 2 days ago
My answer is only pertaining to genotype of the donor. Birth weight and nephron number aside, she should not be excluded. Risk for the recipient is...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 2 days ago
Thanks very much for the incredibly prompt responseCheersShlomo -- Shlomo Cohney FASN PhD FRACP MRCP MBBS Physician/Nephrologist/Transplant Immu...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 2 days ago
Her BMI is 29.97, had 2 pregnancies but no gestational Diabetes. We did OGTT since she had HbA1c 5.8, her Fasting was 90 mg/dl and two hours glucos...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 2 days ago
Presumably he has IHD and AF (clopidogrel & apixaban) He is on a lot of pills ! Yet he is not on any RAAS blockade He likely has significant reno...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 3 days ago
Thus is eGFR -by the EKFC equation, not mGFR, but these values should be pretty close to mGFR. (see Astley, M, et al Kidney Int, 2025) ...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 3 days ago
Many of us (in Australia) are hesitant/reluctant when considering younger donors and especially in a child to parent situation If as I understand ...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 3 days ago
The median eGFR for 40-45 year old healthy female is 100ml/min/173m2. An eGFR of 80ml/min /1.73m2 is at the lower limit of "normal" . I agree wit...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 3 days ago
Average GFR in age 40-49 is 80-100 ml/min-1.73-so 80 is lower limit for normal but many LKD programs prefer > 90 in donors with potential longer li...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 3 days ago
I have to find out what was her birth weight. However, my understanding from reviewing literature evaluating normal GFR in general population, is t...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 3 days ago
In addition to the genetic concerns mentioned above, a 44 year-old donor with a GFR is 81 ml/min/1.73. Would cause me to recommend against acceptan...
View DiscussionRE: AKI, urinary K Wasting and uncontrolled HTN 3 days ago
He was started on spironolactone 25 mg daily on 26 March and since then, creatinine has rose from 3.5 to 4.1, a 17% rise, BUN has rose from 41 to 5...
View DiscussionRE: AKI, urinary K Wasting and uncontrolled HTN 3 days ago
13,6grams /d of total urine protein excretion , yet only 3.5milligrams/ d of albumin. Something is wrong here. What is the urinary Immunofixation o...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? 3 days ago
This is highly suggestive of LCCN based on high sFLC > 500 mg/l and predominantly non-albumin proteinuria plus kappa light chains predominance. I w...
View DiscussionRE: AKI, urinary K Wasting and uncontrolled HTN 3 days ago
Thanks for additional informations. Blood gas with knowing of blood PH is important in interpretation of acid-base disorders. Because if we have on...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 3 days ago
A compound heterozygous (deletion) mutation in CFHR1/3 and CFHR1/ 4 is associated with C3G and anti-Factor H autoantibodies I am eager to learn tge...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? Saturday, March 29 @ 6:23 PM
Pet, scan mentioned above. August, 2024. MRI did not find any bone lesions . April, 2024 and May, 2023 chest x-rays and 2/2023 knee Cray did not fi...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? Saturday, March 29 @ 6:20 PM
Although he has Chronic kidney Disease G3 with recent rise of Creatinine as explained above and Anemia also but for more than 10 years, he has not ...
View DiscussionRE: Potential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 Saturday, March 29 @ 4:12 PM
Personally, I suggest you contact any of the following individuals for their expert advise: Dr. Richard Smith and/or Dr. Carla Nester at the Univ...
View DiscussionPotential donor with compound heterozygous mutations in CFHR1/3 and CFHR1/4 Saturday, March 29 @ 3:35 PM
I would love the community's input on the following case: A 44-year-old AA female who is being evaluated as potential donor for her father, who ha...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? Saturday, March 29 @ 1:57 PM
Dr Ali BPH plus UTI with unusual organism. Does he have prostatitis? Incomplete bladder emptying? Tough case. Thank you, Jorge Roman-Latorre MD For...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? Saturday, March 29 @ 12:24 PM
Does this patient have Overt MM (satisfying CRAB criteria) or does he have "Smoldering" MM. I can't tell from the data provided. The very low alb...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? Saturday, March 29 @ 9:36 AM
CRAB - calcium (hypercalcemia, renal (kidney dysfunction), anemia, bone (usually radiographically apparent bone lesions). -----------------------...
View DiscussionRE: AKI, urinary K Wasting and uncontrolled HTN Saturday, March 29 @ 9:27 AM
There was no Vomiting . 1-2 days of nausea and stomach discomfort resolved after admission . The only Diuretic that he may be using as outpatient w...
View DiscussionRE: whether to Biopsy this Kidney of myeloma patient and whether to treat asymptomatic Uti before Biopsy? Saturday, March 29 @ 8:38 AM
How would a biopsy change the therapy? ------------------------------ John Mellas MD Nephrology and Hypertension Specialists St Louis MO 31453723...
View DiscussionRE: AKI, urinary K Wasting and uncontrolled HTN Saturday, March 29 @ 7:30 AM
Any history of repeated vomiting or high dose diuretics use? What doses of NaHCO3 he was on per day? Agree to look for RAS or PA in this setting. ...
View Discussion