Juan Putra

Pediatric Pathologist @BostonChildrens
Assistant Professor of Pathology @harvardmed

[Juan Putra @path_putra]

Unexpected opening! One spot available for Pediatric Pathology Fellowship at Boston Children’s Hospital for 2026-2027. Join our team and help shape the future of pediatric pathology. Message me for further details. @SocPediPath @AlyaaIbraheemi @AlannaChurch_MD @jake_bledsoe

[Juan Putra @path_putra]

@VHNguyenMD @drjonbush @ElanHahn @petitpath @gershonmd @Path_Matt @dochodgson @liverpath @sm_armstrong8

[Danielle Bentley, PhD @DBentleyPhD]

🎤: are you a Canadian Pathologist or Pathologists’ Assistant?

📄: please help us identify which topics in embryology are essential for the practicing PA
🗓️: deadline = Nov 1st
💵: draw for 1 of 10 $50 Amazon giftcards

Link ⬇️
https://t.co/xPJ5xgLuDR

@cappa_sc @AAPAstudents

[Juan Putra @path_putra]

@pchou3 @IanGelardenMD @Melissa_MB91 @NU_Pathology @LurieChildrens @SocPediPath 😂

[Juan Putra @path_putra]

@ChelseaMehr_MD @TaylorJenkins89 Stellar @ChelseaMehr_MD !

[Juan Putra @path_putra]

@liverwei @punjbiopsy @StJude @szejet Hope to see you in the next USCAP @liverwei

[Juan Putra @path_putra]

@punjbiopsy @StJude @liverwei @szejet Nice meeting you in person @punjbiopsy

[Juan Putra @path_putra]

Dinner with superstars in vascular anomalies in New Orleans; missing @AnitaGuPath

[PediDevPath @PediDevPath]

🚨 Open Access Content Alert!🚨

What makes evaluating pediatric acute liver failure different from liver failure in adults? When do kids need a liver biopsy for acute liver failure? Find out here (Open access until November 4th):

https://t.co/Fd0p2vU3Kx

#PediPath #GIpath

[Juan Putra @path_putra]

@ariella8 @JMGardnerMD @VHNguyenMD @luishcruzc @olopeznu @mreyesm @MArnold_PedPath @DrGeeONE Poorly differentiated based on the provided images

[Juan Putra @path_putra]

@DMINologist @GIJamesMD @Dr_Brian_Cox @ALBoothMD @DraEosina @ariella8 @RaulSGonzalezMD @Mvgs1706 @SuntreaHammer @jansen_marnix @RhondaYantiss +1

[Juan Putra @path_putra]

@NehaNig52745564 @SocPediPath Thank you - Only for those with metabolic liver dx in the differential diagnosis.

[Juan Putra @path_putra]

A young patient with elevated liver enzymes @SocPediPath
#pathology #PathTwitter #pedipath #GIpath #liverpath

[Juan Putra @path_putra]

Answer: FIBRINOGEN STORAGE DISEASE (fibrinogen gene mutation, incl. FGG). The globular inclusions are present throughout (panlobular); while, A1AT deficiency is more pronounced in zone 1 hepatocytes. EM shows tubular inclusions in a fingerprint pattern.

[Juan Putra @path_putra]

This condition is associated with mutations of which gene

[Juan Putra @path_putra]

@ariella8 @hematogones @Vik_deshpandeMD @RunjanChetty @DraEosina @Mvgs1706 @jansen_marnix @drtimbracey @DrMarkOng @navale_pooja @VHNguyenMD In young children, it usually arises in the background of normal or minimally inflamed stomach. I believe it’s developmental/congenital and not acquired.

[Juan Putra @path_putra]

Classic #pedipath #GIpath
Abetalipoproteinemia: Congenital enteropathy due to MTTP mutation.
Duodenal bx shows prominent fat vacuoles in the apical villous cytoplasm with preserved architecture.
Others: acanthocytes on blood smear, hepatic steatosis.
@SocPediPath #PathTwitter

[Juan Putra @path_putra]

@joaquinnieves55 @SocPediPath Renal medullary carcinoma is an important diagnostic consideration. But, this is a case of VCL-ALK renal cell carcinoma, another subtype of RCC associated with sickle cell trait

[Juan Putra @path_putra]

A teenager with sickle cell trait and a 3.0 cm mass in the renal pelvis #PediPath #gupath #pathology #PathTwitter #pathresidents @SocPediPath

[Juan Putra @path_putra]

@DrGeeONE @SumantaDas_7 @SocPediPath Renal medullary carcinoma is another important diagnostic consideration. But, this is a case of VCL-ALK renal cell carcinoma, another subtype associated with sickle cell trait

[Juan Putra @path_putra]

@slusagar @SocPediPath You are very accurate, @slusagar. The lesional cells are immunoreactive for ALK and PAX8. INI1 expression is retained.