🎓 New & Free CME/CE! Lupus Nephritis: Raising the Bar on Early Diagnosis and Optimal Treatment. Enroll now and complete the activity at your convenience: https://t.co/OavJVuC6US
In a new Voices blog post, @PaulSaxMD, takes us on a guided tour through EIAs, RPRs, false negatives, false positives, and the strange endurance of a test from 1906. Read the latest: https://t.co/CUY96CRfUB
The updated Dialysis Core Curriculum 2026 is here. Strengthen your dialysis expertise with 12 comprehensive, on-demand courses featuring practical, case-based education, virtual flashcards, downloadable resources, and up to 22.75 CME credits. Learn more: https://t.co/8eMx541E3V
Do low-dose glucocorticoids prevent major relapse during #AAV maintenance?
In 171 patients with GPA or MPA followed for a median of 7.4 years:
❌ Glucocorticoids did not reduce major relapse risk
✅ Rituximab was associated with lower relapse risk
⚠️ Higher glucocorticoid exposure was associated with more damage accrual and hospitalisations
These real-world data support tapering and discontinuing glucocorticoids after remission whenever feasible.
🔓 https://t.co/omdYagvghD
🇷🇺 Vladimir Putin:
I once asked Jacques Chirac, "Why does American leadership behave this way; why are they so aggressive and in some cases so narrow-minded?"
He replied in Russian:
"Because they are uncultured people."
El dilema del bicarbonato en la ERC avanzada: ¿Frenar la progresión o sobrecargar el corazón? 🧪⚖️
Pautar bicarbonato de sodio de forma universal ante cualquier acidosis metabólica leve en la ERC avanzada exige precaución hemodinámica.
Un ensayo clínico aleatorizado de fase 3 publicado en @Kidney_Int demuestra que, si bien la suplementación alcalina oral estabiliza la caída del eGFR en pacientes con ERC estadios 4-5, en aquellos con disfunción cardíaca subyacente incrementa de forma significativa el riesgo de hospitalización por insuficiencia cardíaca debido a la sobrecarga sódica concomitante.
En la consulta: si tu paciente roza el peso seco o tiene cardiopatía estructural, considera prioritario el ajuste dietético y optimiza diuréticos antes de forzar la carga de sodio exógeno.
Bibliografía:
de Brito-Ashurst I, et al. Bicarbonate supplementation in advanced chronic kidney disease and the risk of fluid overload-driven heart failure: a multicenter randomized trial. Kidney Int, 2026. doi:10.1016/j.kint.2026.04.011
#Nefrología #MedicinaBasadaEnEvidencia #CardioRenal #TrasplanteRenal #NefroTwitter
😍Did you already discover the NDT kidney art gallery?
https://t.co/o3UUQby2kS
📷Check it out and send us one of your own kidney images!
😍Selected images appear on the covers of NDT🥳
We have a new #ArticleinPress from @UF! Influence of serum #chloride concentrations on the renin-angiotensin-aldosterone system in dogs with congestive heart failure (Darcy Adin et al.):
https://t.co/lOMqJLTrrt
Check out our new video series, KDIGO IgAN Guideline in Practice: https://t.co/FpdLWTVIDb
In this three-part series, Dr. Smeeta Sinha (UK), Dr. Brad Rovin (US), and Dr. Sydney Tang (HK) share implementation, global, and Asia-Pacific perspectives to help clinicians apply the KDIGO IgAN Guideline in everyday clinical care.
Each video offers practical insights to inform evidence-based care for people with IgAN.
Clinical takeaway: early UACR & SBP responses are complementary, actionable signals of CV efficacy on finerenone — not just surrogate niceties. Watch both.
The other half operates through pathways still to be defined.
🔗 https://t.co/Ju6I9TN8IR
w/ @mvaduganathan@FaiezZannad
Not everyone performs #VExUS yet since it's a relatively advanced #POCUS application. But we can often get an early clue from routine radiology studies we already order, such as liver or kidney Doppler.
@ChailShah does a great job highlighting this perspective in a narrative review written in collaboration with his radiologist father (& me).
🔗https://t.co/AIQSNaqWrP
Pedir anticuerpos antinucleares sin síntomas clínicos es abrir la "puerta al infierno" del estrés y diagnósticos erróneos. 🛑🩺 Excelente consejo del Dr. Moctezuma para estudiantes y médicos. https://t.co/gjS3XzKrIW
#MedicinaInterna#EducaciónMédica#lupus
This is Tijuana 4:00 am last night. Iran national team arrived.
This is the most unfair and shameful #WarCup in history.
If any of this happened to Team USA in Iran — no recovery after matches, immediate flights to the airport, massive external pressure, or management/logistics staff denied visas — FIFA would suspend Iran instantly, cancel hosting rights, and slap on heavy fines.
But when it’s our Team Melli? Total silence and bias for the wrong side.
Shame on America.
Shame on FIFA.
Team Melli fights with dignity anyway.
#TeamMelli #WorldCup2026