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One of the many patterns of tubular atrophy in the kidney is the aptly named “thyroidization” pattern because of its resemblance to normal thyroid gland follicles. 

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May 27, 2026 at 1:02 PM
Figure 1 shows a renal biopsy from a 29-year-old man with no significant past medical history, who was found to have microscopic hematuria and non-nephrotic range proteinuria. 

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May 14, 2026 at 1:03 PM
1/ This biopsy is taken from a patient with HIV/AIDS who presented with an elevated serum creatinine and nephrotic range proteinuria. 

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April 28, 2026 at 1:01 PM
This renal biopsy illustrates severe chronic kidney injury and its effects on all major compartments of the cortex: most glomeruli are globally sclerotic, the atrophic tubules are widely spaced, the interstitium is fibrotic, and the arterial walls show intimal fibrosis. 

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April 14, 2026 at 1:02 PM
Immunotactoid glomerulopathy is one of many glomerular diseases characterized by organized deposits. 

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April 7, 2026 at 1:17 PM
This biopsy shows glomerular arteriolar and capillary thrombi characteristic of thrombotic microangiopathy (TMA). Immunofluorescence studies (not shown) are negative for significant glomerular or tubulointerstitial immune complex deposits.  

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March 31, 2026 at 1:03 PM
Some patients with membranous glomerulopathy also have associated focal segmental glomerulosclerosis (FSGS) lesions.

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March 24, 2026 at 1:01 PM
As published decades ago by Bonsib et al. (see reference), fluorescence microscopy of eosin-stained frozen section slides can be a valuable tool in providing diagnostic clues in kidney biopsies.

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March 17, 2026 at 1:02 PM
1/ This allograft biopsy shows the characteristic features of adenovirus infection.  

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March 10, 2026 at 1:01 PM
2/ Predominantly subepithelial deposits, in contrast, would be expected in most cases of membranous glomerulopathy.  

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March 3, 2026 at 2:02 PM
The differential diagnosis for interstitial hemorrhage includes hemorrhagic necrosis in the setting of renal artery thrombosis, infection (e.g. herpes simplex virus, adenovirus, hantavirus, Rickettsia),...(1/2)

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February 10, 2026 at 2:02 PM
(1/3) Chronic active T cell-mediated rejection (TCMR) was included in the 2017 Banff classification system for the evaluation of kidney allografts (see reference). 

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February 3, 2026 at 2:02 PM
Collapsing glomerular lesions are aptly named, given the prominent “collapse” of glomerular tuft capillary loops. There is also hyperplasia and hypertrophy of overlying epithelial cells, and protein resorption droplets may be abundant (see arrow).

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January 27, 2026 at 2:02 PM
Prominent interstitial eosinophils (see arrow) are most often associated with allergic-type acute interstitial nephritis (AIN). 

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January 20, 2026 at 2:01 PM
1/ This kidney biopsy is from an elderly adult patient with acute renal failure and a history of non-steroidal anti-inflammatory medication (NSAID) use.

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December 30, 2025 at 2:02 PM
(1/2) The picture shows tissue submitted for routine immunofluorescence (fibrinogen stain is shown). Careful inspection confirms that this is an artery cross section which contains abnormal intraluminal tissue elements with numerous cleft-like spaces (see arrow).

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November 25, 2025 at 5:21 PM
(1/2) The presence of peritubular capillaritis (see arrow Fig. 1) is an important component of microvascular inflammation, along with glomerulitis, in the diagnosis of active antibody-mediated rejection (ABMR).

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November 18, 2025 at 2:03 PM
1/ This biopsy shows the characteristic features of uric acid nephropathy (commonly known as gout), which results from precipitation of uric acid in the kidney parenchyma.

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November 11, 2025 at 2:02 PM
(1/3) Paying close attention to morphologic detail can sometimes suggest etiologic clues in cases of severe chronic renal injury. The glomerulus in this image, for example, shows near complete global glomerulosclerosis.

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October 28, 2025 at 1:02 PM
Cholesterol emboli involving the kidney may manifest clinically as acute kidney injury, hematuria, proteinuria (both non-nephrotic and nephrotic range), and even new onset hypertension.

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October 14, 2025 at 1:02 PM
However, the prominent IgG deposits also involving the associated arteriole in this case are an important clue that helps argue for a secondary etiology. This patient, in fact, was found to have systemic lupus erythematosus. (2/2)

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October 7, 2025 at 12:55 PM
1/ Knowing whether a patient has clinical nephrotic syndrome and knowing the degree of podocyte foot process effacement can be helpful diagnostic clues in separating “primary” from “secondary” forms of focal segmental glomerulosclerosis (FSGS).

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September 30, 2025 at 1:03 PM
1/ Electron microscopy can be helpful in the diagnosis of cryoglobulinemic glomerulonephritis.

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September 9, 2025 at 1:03 PM
1/This glomerulus is large! Glomerular enlargement, or glomerulomegaly, may be diagnosed when a glomerulus sectioned through the hilum fills greater than 50% of a 40x microscopic field. It is thought to be a morphologic marker of glomerular hyperfiltration.

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August 26, 2025 at 1:02 PM