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Anthony Chang, MD

@changucanspare.bsky.social
1K followers 527 following 37 posts

Prof/renal pathologist at U of Chicago; ultimate complement and bile-iever; COI - Alexion, Apellis, Novartis, Otsuka, and I never met a kidney bx I didn't like

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Reposted by Anthony Chang, MD
Renal Pathology Society (RPS) @renalpathsociety.bsky.social · 20/02/2026
USCAP 2026 Lunch Presentation Discover Important Updates in C3G Presenter: Anthony Chang, MD University of Chicago Medical Center Sunday, March 22nd, 12 - 1 PM CT No registration required Lunch provided @uscap.org @changucanspare.bsky.social #USCAP2026 #renalpath #pathsky
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Anthony Chang, MD @changucanspare.bsky.social · 14/01/2026
Tony Chang, renal pathologist @uchicagopath.bsky.social COI: Apellis, Novartis, Alexion, Otsuka, but I don't prescribe so just lurking and interested to see what folks think about pegcetacoplan and iptacopan #NephJC
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Reposted by Anthony Chang, MD
Edgar V. Lerma 🇵🇭 @edgarvlermamd.medsky.network · 03/01/2026
Kidney Biopsy 🔬 101 from @changucanspare.bsky.social #Nephpearls #NephSky 👉 shop.lww.com/Handbook-of-...
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Reposted by Anthony Chang, MD
American Journal of Kidney Diseases @ajkd.bsky.social · 15/11/2025
#Quiz: A 16-year-old patient presented to an emergency department with a 3-week history of progressive headaches, nausea, vomiting, and bilateral blurry vision. Over the past 3 days, he developed chest pain and shortness of breath. bit.ly/3WsjM9T
(A) Diffuse medium and small renal arterial stenoses (yellow arrows) and microaneurysms (red arrows). (B) Intact large abdominal vessel angiogram and a small splenic artery aneurysm (red arrow in inset). (C). Distended arteriole occluded by a thrombus (arrowhead), consistent with thrombotic microangiopathy (PAS stain, ×200).
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Reposted by Anthony Chang, MD
NKF Nephrology Professionals @nkf-professionals.bsky.social · 22/09/2025
🚦 The long-awaited #AJKD Core Curriculum update is here! Join Drs. Susie Hu & Anthony Chang on Kidney Commute: Pitstop as they unpack what this means for nephrologists. 🎧 Don’t miss it: www.kidney.org/podcasts/kid...
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Anthony Chang, MD @changucanspare.bsky.social · 12/09/2025
Kristen Tillquist, @nephrosage.bsky.social, me, and Susie Hu wrote this onconephrology topic for AJKD Core Curriculum www.sciencedirect.com/science/arti...
sciencedirect.com
The Nephrologist’s Perspective in Evaluation and Management of Localized Renal Masses: Core Curriculum 2025
The evaluation and management of renal masses, predominantly of the clear cell renal cell carcinoma subtype, have been evolving over the past several …
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Reposted by Anthony Chang, MD
Nephrology Times @nephtimes.bsky.social · 20/08/2025
We recently hosted our first roundtable event! In the first segment, the panel discusses the history of C3G and IC-MPGN, the heterogeneity of glomerulonephritis, and how new, specific disease definitions have come into focus. #nephsky #nephrology buff.ly/543raB8
buff.ly
C3G and IC-MPGN: The Past and Pathology (Roundtable) | Docwire News
A roundtable panel discusses the history of C3G and IC-MPGN, the heterogeneity of glomerulonephritis, and how new, specific disease definitions have come into focus.
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Anthony Chang, MD @changucanspare.bsky.social · 20/08/2025
Tony Chang, renal pathologist at UChicago Big John Green fan. I think I've read all his books #NephJC
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Reposted by Anthony Chang, MD
Nephrology Times @nephtimes.bsky.social · 04/08/2025
We hosted our first live event on Friday, and look forward to sharing the videos soon! Thank you to @kidneyboy.bsky.social, @changucanspare.bsky.social, Roger Rodby, Cybele Ghossein, and Fernando Fervenza for participating. #nephrology #nephsky
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Anthony Chang, MD @changucanspare.bsky.social · 16/06/2025
What an amazing year with our renal path fellow, Teo Feuerhake! He returns soon to Chile with his expertise as one of the few fellowship-trained renal pathologists. We'll miss him tremendously but glad for all the kidney dz pts who will benefit
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Anthony Chang, MD @changucanspare.bsky.social · 10/06/2025
Fantastic to have Hayde Ramos from Mexico spend 3 months with our renal path service. Formed a great team with our renal path fellow, Teo Feuerhake. Times flies when you get to work with these amazing people
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Reposted by Anthony Chang, MD
University of Chicago Pathology @uchicagopath.bsky.social · 22/11/2024
Our department is expanding and looking for an additional renal pathologist and another GI pathologist Apply here: t.co/ZF8Y1uhQzi and t.co/SsDNqVlIBC
t.co
http://apply.interfolio.com/158902
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Reposted by Anthony Chang, MD
Chicago Pathology Society @chicagopathsoc.bsky.social · 18/05/2025
Congratulations to Dr Maria Picken for being the recipient of the John Gruhn Lifetime Achievement Award!
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Anthony Chang, MD @changucanspare.bsky.social · 13/05/2025
20 years ago we would have diagnosed this as IgA nephropathy
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Anthony Chang, MD @changucanspare.bsky.social · 12/05/2025
We need to train more nephropathologists to provide the correct diagnosis so that the nephrologists can properly manage these complex patients
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Reposted by Anthony Chang, MD
Nephrology Journal Club @nephjc.bsky.social · 10/05/2025
6/10 Give me something clever to say “I think of a smoldering AMR like a slowly growing leiomyoma/uterine fibroid. We don't use chemo and using it still might not stop its growth” by @changucanspare.bsky.social
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Anthony Chang, MD @changucanspare.bsky.social · 10/05/2025
If it takes 25-30 years to lose your first half of nephrons, it won’t take another 25-30 years to lose the second half
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Anthony Chang, MD @changucanspare.bsky.social · 09/05/2025
A serum creatinine of 1.3 mg/dL is not alarming until you realize that it probably represents ~50% nephron loss, because that's what your creatinine would be if you donated a kidney
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Anthony Chang, MD @changucanspare.bsky.social · 04/05/2025
Chronic kidney disease enhances alternative pathway activity: a new paradigm www.jci.org/articles/vie...
jci.org
JCI - Chronic kidney disease enhances alternative pathway activity: a new paradigm
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Anthony Chang, MD @changucanspare.bsky.social · 03/05/2025
"If you are only going to do 1 biopsy, do the second" - Gary Hill Rovin et al get the 2nd kidney bx in this lupus nephritis study using voclosporin and did not find CNI toxicity acrjournals.onlinelibrary.wiley.com/doi/abs/10.1...
acrjournals.onlinelibrary.wiley.com
Effect of long‐term voclosporin treatment on renal histology in patients with active lupus nephritis with repeat renal biopsies
Objective This study characterized the impact of voclosporin on kidney histology in patients with lupus nephritis (LN) who had protocolized repeat kidney biopsies in the AURORA clinical trials. Me...
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Anthony Chang, MD @changucanspare.bsky.social · 30/04/2025
Tony Chang Renal pathologist at U of Chicago 1st #NephJC on BlueSky for me, will be lurking Disclosure: I think active AMR mostly smolders and of course I worry that complement potentiates the pts who have worse outcomes as their DSAs fix complement
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Anthony Chang, MD @changucanspare.bsky.social · 29/04/2025
Bob Colvin, Lynn Cornell and I received our copies of the Chinese translation of our textbook Bob said he didn’t find any typos but I haven’t given up yet
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Reposted by Anthony Chang, MD
Tiff Caza @glombandit.bsky.social · 27/04/2025
SGLT2 inhibitors can have a complement inhibition effect. By @changucanspare.bsky.social at @glomcon.org
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Reposted by Anthony Chang, MD
Tiff Caza @glombandit.bsky.social · 27/04/2025
Scleroderma renal crisis only impacts ~10% of those with scleroderma and may be complement mediated. By @changucanspare.bsky.social at @glomcon.org
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Reposted by Anthony Chang, MD
Tiff Caza @glombandit.bsky.social · 27/04/2025
In clinical laboratory studies for TMA, you may have relative (rather than absolute thrombocytopenia) and often do not see schistocytes on peripheral smears (or require serial measurements). By @changucanspare.bsky.social at @glomcon.org
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Reposted by Anthony Chang, MD
Tiff Caza @glombandit.bsky.social · 27/04/2025
Triggers of complement activation: By @changucanspare.bsky.social at @glomcon.org
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Anthony Chang, MD @changucanspare.bsky.social · 17/03/2025
OMG - we read the kidney bxs for Brown Medicine and have interacted on several occasions with Dr. Rasha Alawieh. She's an integral member of their busy transplant nephrology team. Need to bring her back ASAP as kidney transplant patients will be harmed by this
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Reposted by Anthony Chang, MD
ASNKidney @asnkidney.bsky.social · 15/01/2025
🚨One Week Left: Apply for Kidney TREK 2025🚨 Hands-on nephrology experience + mentorship at your choice of location: 🏞️ MDIBL: Research with model organisms. 🏙️ UChicago: Renal physiology and procedures. Apply by January 22 🔗https://www.asn-online.org/treks 📷 Credits: Arvin Halim
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Reposted by Anthony Chang, MD
ASNKidney @asnkidney.bsky.social · 19/12/2024
Explore a career in nephrology with the 2025 Kidney TREKS Program! 🌟 Explore Bar Harbor, ME, or Chicago, IL, and connect with a mentor to grow your research and career. Deadline: January 22, 2:00 p.m. EST. Apply Now! 🔗https://www.asn-online.org/treks 📷 Credits: Arvin Halim
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Anthony Chang, MD @changucanspare.bsky.social · 04/01/2025
2 Bonsib USCAP travel grants available to attend the 2025 annual mtg in Boston. Apply by Jan 31, 2025
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Reposted by Anthony Chang, MD
Jonathan Zuckerman MD PhD @jzrenalpath.bsky.social · 03/01/2025
Not uncommon sequalae of long standing proteinuria: interstitial foam cells (not just Alport) and intra-tubular cholesterol clefts/granulomas. Images from a bx with long standing lupus and heavy proteinuria (class V+IV(C)). #renalpath #pathsky #nephsky
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Reposted by Anthony Chang, MD
SPIE @spie.org · 30/12/2024
💡 pSAM = new tool for analyzing pixels & cells in highly multiplexed #microscopy images. Multichannel image data compressed for the rapid view of cellular biopsy constituents. Read the research from Univ. of Chicago, open access in #SPIE_JMI: www.spiedigitallibra... @changucanspare.bsky.social‬
spiedigitallibrary.org
Pseudo-spectral angle mapping for pixel and cell classification in highly multiplexed immunofluorescence images
PurposeThe rapid development of highly multiplexed microscopy has enabled the study of cells embedded within their native tissue. The rich spatial data provided by these techniques have yielded exciting insights into the spatial features of human disease. However, computational methods for analyzing these high-content images are still emerging; there is a need for more robust and generalizable tools for evaluating the cellular constituents and stroma captured by high-plex imaging. To address this need, we have adapted spectral angle mapping—an algorithm developed for hyperspectral image analysis—to compress the channel dimension of high-plex immunofluorescence (IF) images.ApproachHere, we present pseudo-spectral angle mapping (pSAM), a robust and flexible method for determining the most likely class of each pixel in a high-plex image. The class maps calculated through pSAM yield pixel classifications which can be combined with instance segmentation algorithms to classify individual cells.ResultsIn a dataset of colon biopsies imaged with a 13-plex staining panel, 16 pSAM class maps were computed to generate pixel classifications. Instance segmentations of cells with Cellpose2.0 (F1-score of 0.83±0.13) were combined with these class maps to provide cell class predictions for 13 cell classes. In addition, in a separate unseen dataset of kidney biopsies imaged with a 44-plex staining panel, pSAM plus Cellpose2.0 (F1-score of 0.86±0.11) detected a diverse set of 38 classes of structural and immune cells.ConclusionsIn summary, pSAM is a powerful and generalizable tool for evaluating high-plex IF image data and classifying cells in these high-dimensional images.
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Anthony Chang, MD @changucanspare.bsky.social · 19/12/2024
Did you know dopamine, bilirubin, and dobutamine are among some of the substances that can interfere with creatinine measurement? Don't just believe all the numbers from the basic metabolic panel www.sciencedirect.com/science/arti...
sciencedirect.com
Laboratory Anomalies in the Basic Metabolic Panel: Core Curriculum 2025
Laboratory testing plays an integral part in medical decision making. However, laboratory results can sometimes vary significantly, leading to anomalo…
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Anthony Chang, MD @changucanspare.bsky.social · 10/12/2024
Spatial immunology and pseudo-spectral angle mapping in colon and kidney bxs by Madeleine Torcasso and team doi.org/10.1117/1.JM...
doi.org
Pseudo-spectral angle mapping for pixel and cell classification in highly multiplexed immunofluorescence images
PurposeThe rapid development of highly multiplexed microscopy has enabled the study of cells embedded within their native tissue. The rich spatial data provided by these techniques have yielded exciti...
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Anthony Chang, MD @changucanspare.bsky.social · 06/12/2024
Congrats on matching with U of Chicago nephrology! Looking forward to working with you all soon
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Anthony Chang, MD @changucanspare.bsky.social · 06/12/2024
bookmark.elsevierhealth.com/4-star-revie...
bookmark.elsevierhealth.com
4-Star Review of Diagnostic Pathology: Transplant Pathology, 3rd Edition - The Bookmark
This book is an offering in the Diagnostic Pathology series and provides a concise overview of organ transplant pathology. It draws on the knowledge of 20 experts to provide the latest updates in this...
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Reposted by Anthony Chang, MD
Jonathan Zuckerman MD PhD @jzrenalpath.bsky.social · 30/11/2024
Kidney pathology in an autopsy case for decompensated cirrhosis. Patchy bile cast nephropathy (brown casts; green on Hall's bile stain) and a Randall plaque (papillary tip nephrocalcinosis). #renalpath #nephrology #pathsky #nephsky
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Reposted by Anthony Chang, MD
Boonyarit Cheunsuchon MD @roboonya.bsky.social · 27/11/2024
What are the pigments in tubular cells? The bx is from 85 yo female with nephrotic syndrome and AKI. #renalpathology #pathsky
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Anthony Chang, MD @changucanspare.bsky.social · 27/11/2024
There are nephrologists whose voices I would recognize anywhere from my 20+ yrs of practice, but could pass them on the streets of Chicago and have no idea, as we've never met in person
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Reposted by Anthony Chang, MD
Edgar V. Lerma 🇵🇭 @edgarvlermamd.medsky.network · 23/11/2024
Kidney Biopsy 🔬 101 from @changucanspare.bsky.social #Nephpearls #NephSky 👉 shop.lww.com/Handbook-of-...
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Reposted by Anthony Chang, MD
Jonathan Zuckerman MD PhD @jzrenalpath.bsky.social · 21/11/2024
Biopsy for nephrotic syndrome in an adult. Anyone want to venture a diagnosis? or any additional tests? #renalpath #nephrology #pathsky
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Reposted by Anthony Chang, MD
Poyan Mehr @poyanmehr.org · 19/11/2024
What if they work in IGAN also by reducing complement activation?
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Anthony Chang, MD @changucanspare.bsky.social · 18/11/2024
You had me at reduced complement activation Pilot study of SGLT-2 inhibitor empagliflozin shows reduced intrarenal complement activation in patients with diabetes and chronic kidney disease www.kireports.org/article/S246...
kireports.org
DEFINE_ME
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Anthony Chang, MD @changucanspare.bsky.social · 13/11/2024
We are hiring! Spread the word Our #renalpath / kidney bx service is growing. It's the 1st time we will have 3 renal pathologists in our dept Apply apply.interfolio.com/158902 to join Kammi Henriksen and me to see a wide range of pediatric and adult biopsies (both native and transplant kidneys)
apply.interfolio.com
Apply - Interfolio {{$ctrl.$state.data.pageTitle}} - Apply - Interfolio
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