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Christoph Schwarz

@electro-like.bsky.social
112 followers 165 following 15 posts

Nephrologist, interest in: electrolyte disorders and kidney stones

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Reposted by Christoph Schwarz
Florian Buchkremer @swissnephro.bsky.social · 02/10/2026
Bridging FSGS and X-Linked Alport Syndrome Through Genetic Testing - Kidney International Case Reports www.kicasereports.org/article/S311...
kicasereports.org
Bridging FSGS and X-Linked Alport Syndrome Through Genetic Testing
Alport syndrome is a genetically heterogeneous disorder of the glomerular basement membrane (GBM) caused by pathogenic variants in the COL4A3, COL4A4, and COL4A5 genes. The disease may follow X-linked...
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Reposted by Christoph Schwarz
Daniel Batlle, MD @daniel-batlle.bsky.social · 01/10/2026
Pleased to post our paper published in the October issue in JASN on metabolic acidosis in CKD using estimated arterial pH, pCO2, and bicarbonate from venous blood (doi: 10.34067/KID.0000001113). @nu-nephrology.bsky.social @feinberg.northwestern.edu www.ovid.com/jnls/jasn/fu...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 02/10/2026
10 cups of coffee a day can give you…..a nasty kidney stone www.kidney-international.org/article/S008... in @kidneyint.bsky.social
Picture of the kidney stone
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Journal of Inherited Metabolic Disease @jimd-editors.bsky.social · 20/09/2026
Pancreatitis may be an under-recognised complication of mitochondrial disease. A systematic review found 24 reported cases: • Median age at onset: 10 years • 63% recurrent/chronic • mtDNA deletions & m.3243A>G most frequent 🔗 doi.org/10.1002/jmd2...
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kireports.bsky.social @kireports.bsky.social · 11/09/2026
Data-Driven Clustering of Secretory Bone and Inflammatory Markers to Subphenotype Hemodialysis Patients #VisualAbstract by Abdul Qader www.kireports.org/article/S2468-024…
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Reposted by Christoph Schwarz
Gregor Bond @gregorbond.bsky.social · 09/09/2026
Torque Teno virus 🦠 is safe to guide immunosuppression in kidney transplantation our manuscript is now available as preprint ☺️ ssrn.com/abstract=740... #TTVguide
ssrn.com
Safety of Torque Teno Virus-Guided Immunosuppression in Kidney Transplant Recipients: A Randomised Controlled, Non-Inferiority, Phase 2 Trial
Background: Standardised tacrolimus trough-level targets limit individualisation of immunosuppressive therapy in kidney transplant recipients. Torque teno virus
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Reposted by Christoph Schwarz
Gregor Bond @gregorbond.bsky.social · 07/09/2026
results of our EU funded project ☺️ TTVirus is safe to guide immunosuppression in kidney transplant patients #TTVguide cordis.europa.eu/article/id/4...
cordis.europa.eu
Using a virus to optimise the use of immunosuppressive drugs
A clinical trial shows that using the torque teno virus to guide the use of immunosuppressive drugs is safe, potentially reducing the...
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Reposted by Christoph Schwarz
ERKNet - European Reference Network for Rare Kidney Diseases @erknet.bsky.social · 31/08/2026
📢 Dont miss our next 𝐖𝐞𝐛𝐢𝐧𝐚𝐫 Topic: 𝐓𝐡𝐞 𝐄𝐮𝐫𝐨𝐩𝐞𝐚𝐧 𝐝𝐢𝐬𝐭𝐚𝐥 𝐫𝐞𝐧𝐚𝐥 𝐭𝐮𝐛𝐮𝐥𝐚𝐫 𝐚𝐜𝐢𝐝𝐨𝐬𝐢𝐬 𝐫𝐞𝐠𝐢𝐬𝐭𝐫𝐲: 𝐚 𝐟𝐢𝐯𝐞 𝐲𝐞𝐚𝐫 𝐚𝐧𝐚𝐥𝐲𝐬𝐢𝐬 🗓️ Date: Tuesday, 01 Sep 🕓 Time: 4 - 5 PM CET 🗣️ Speaker: Marta Giaccari (Italy) 💡Mod: Francesco Trepiccione 👉 𝐑𝐞𝐠𝐢𝐬𝐭𝐞𝐫 𝐧𝐨𝐰 register.gotowebinar.com/register/7…
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Reposted by Christoph Schwarz
Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 27/07/2026
Ooh @kidneyint.bsky.social goes there Fast www.kidney-international.org/article/S008... Slow www.kidney-international.org/article/S008... Hyponatremia controversies #NephSky
kidney-international.org
Hyponatremia treatment guidelines: a necessary course correction
The optimal treatment of hyponatremia has been debated for >50 years. It is now widely accepted that in severe hyponatremia (<120 mmol/L), the rate of correction should not exceed 8 mmol/L per 24 hour...
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Christoph Schwarz @electro-like.bsky.social · 25/07/2026
doi.org/10.1111/hdi....
doi.org
Longitudinal Changes in Acid–Base Parameters From Dialysis Initiation to Death in Maintenance Hemodialysis Patients
Introduction Blood gas analysis is routinely performed in hemodialysis patients to monitor acid–base status and serum potassium. Despite frequent testing, longitudinal analyses of acid–base paramete...
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Reposted by Christoph Schwarz
ASNKidney @asnkidney.bsky.social · 17/07/2026
The latest issue of nephSAP is here. Explore Vol. 25, No. 1, Electrolytes and Acid-Base Disorders, for the latest advances in electrolyte and acid-base disorders. Listen to the companion podcast on hypernatremia with guest editor Biff F. Palmer, MD. 📖: nephsap.org 🎧: bit.ly/podcastASN
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Reposted by Christoph Schwarz
Nature Reviews Nephrology @natrevneph.nature.com · 15/07/2026
dlvr.it
The kidney distal tubule potassium switch, modern diet and hypertension
Nature Reviews Nephrology, Published online: 14 July 2026; doi:10.1038/s41581-026-01099-5This Review focuses on the potassium switch signalling pathway and its regulation of urinary sodium excretion according to plasma potassium levels. Welling and colleagues examine how this pathway affects the interplay between potassium intake, salt handling in the kidney and blood pressure, and its implications for dietary interventions for blood pressure control.
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Reposted by Christoph Schwarz
American Journal of Kidney Diseases @ajkd.bsky.social · 15/07/2026
Mitochondrial Alterations and CKD bit.ly/4hgiRoF (FREE)
 Integrative mechanisms for mitochondrial function assessment in CKD. This figure illustrates a comprehensive overview of mitochondrial evaluation techniques and alterations in CKD. Upper left panel: Functional imaging techniques including as examples qBOLD MRI114 and PET scan (18F-BDP-BF)71 other important readouts that can be enabled through imaging include tissue perfusion, oxygenation, TCA cycle flux, end-organ insulin resistance, mitochondrial respiration, and overall organ and mitochondrial health status.
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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 18/06/2026
Wow! 🆕🔥🔴Multicenter OL NI RCT Oral fosfomycin (3 g once daily) was noninferior to continued intravenous therapy with carbapenems or BLBLIs when used as oral transition therapy for complicated UTIs caused by ESBL-producing Enterobacterales #IDSky #utisky academic.oup.com/cid/article-...
academic.oup.com
Fosfomycin as Oral Transition Therapy Versus Continued Intravenous β-Lactams for Complicated Urinary Tract Infections Caused by Extended-Spectrum β-Lactamase–Producing Enterobacterales: A Multicenter,...
Switching from intravenous antibiotics to oral fosfomycin was noninferior to continuing intravenous therapy for complicated urinary tract infections caused
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Reposted by Christoph Schwarz
kireports.bsky.social @kireports.bsky.social · 12/06/2026
Genetic #Screening of Patients With Inherited #FanconiSyndrome #VisualAbstract by Denisse Arellano www.kireports.org/article/S2468-024…
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Christoph Schwarz @electro-like.bsky.social · 07/06/2026
Exome sequencing in patients with medullary sponge kidney academic.oup.com/ndt/article-... very interesting study on the genetics of MSK
academic.oup.com
Exome sequencing in patients with medullary sponge kidney
AbstractBackground. Medullary sponge kidney (MSK) is characterized by precalyceal dilatation of the renal tubules. This entity is associated with recurrent
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Gregor Bond @gregorbond.bsky.social · 04/06/2026
First data of the TTVguideIT RCT presented @ERA26 in Glasgow 🏴󠁧󠁢󠁳󠁣󠁴󠁿 Personalized Immunosuppression 💊 by Torque Teno 🦠 virus in kidney TX is safe and might help reducing Tacrolimus #TTVguide @fredhaupenthal.bsky.social 👏
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Nature Reviews Nephrology @natrevneph.nature.com · 02/06/2026
dlvr.it
HNF1B as a central gatekeeper of tubular homeostasis
Nature Reviews Nephrology, Published online: 02 June 2026; doi:10.1038/s41581-026-01091-zHNF1B as a central gatekeeper of tubular homeostasis
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Reposted by Christoph Schwarz
Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 03/06/2026
Perfect timing for @kireports.bsky.social to publish the IgG4 review as the @nejm.org publishes this RCT of Obexelimab www.nejm.org/doi/full/10....
First Adjudicated Flare of IgG4-Related Disease for Which Rescue Therapy Was Required (Intention-to-Treat Population).
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American Journal of Kidney Diseases @ajkd.bsky.social · 03/06/2026
In the Literature commentary by Eleanor Lederer and Naim M. Maalouf: The Role of Altered Mineral Metabolism in Kidney Stone Disease: Is Vitamin D the Key? bit.ly/4o9NbDa (FREE) Article in @jci.org ⬇️
bit.ly
The Role of Altered Mineral Metabolism in Kidney Stone Disease: Is Vitamin D the Key?
Kidney stones are common, affecting 10%-15% of the population.1 The foundation for the current therapy to prevent kidney stones is based on the principle that supersaturation of solutes in the urine p...
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Reposted by Christoph Schwarz
Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 03/06/2026
The future is here CAR-T cells and kidney transplants in highly sensitized patients Phase 1 trial, N = 2, www.nejm.org/doi/full/10.... Research letter, N = 1, www.nejm.org/doi/full/10....
nejm.org
Kidney Transplantation in Two Highly Sensitized Candidates after CAR T-Cell Therapy | NEJM
HLA sensitization poses a major challenge to kidney transplantation for patients with end-stage kidney disease, especially for highly sensitized candidates. Attempts at antibody elimination (desens...
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Reposted by Christoph Schwarz
Timothy Caulfield @caulfieldtim.bsky.social · 29/05/2026
"...this review found little to no benefits from use of calcium, vitamin D, or combined supplementation on the prevention of fractures and falls." www.bmj.com/content/393/... via @bmj.com
bmj.com
Calcium, vitamin D, or combined supplementation to prevent fractures and falls: systematic review and meta-analysis
Objective To assess the effect of calcium, vitamin D, or combined supplementation on fractures and falls in adults. Design Systematic review and meta-analysis. Data sources Trials included in system...
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APS Publications @apspublications.bsky.social · 27/05/2026
Top Cited Article: Navigating the multifaceted intricacies of the Na+-Cl− cotransporter, a highly regulated key effector in the control of hydromineral homeostasis A. V. Rioux et al. ow.ly/IEx450YZtZ9
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 15/05/2026
In this edition, @nephroseeker.medsky.social breaks down the Bayesian voodoo behind removing evil humor www.nephjc.com/news/2026/sh... #EMIMCC #NephSky
nephjc.com
NephJC Short: Bayesian leash: How a prior walked the Tigris across the finish line — NephJC
Can polymyxin B hemadsorption truly shift the fate of septic shock, or is the outcome already written?
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Michael S. Balzer @balzer-lab.org · 03/05/2026
🚨CONGRATS @ksusztak.bsky.social @bernhard-dumoulin.bsky.social & team on a fantastic @nature.com paper! DKD isn’t 1 disease! #spatial & #singlecell data reveal distinct injury niches—including B cell–rich immune subtype linked to faster progression. #Nephrology #PrecisionMedicine #NephSky #MedSky 🧪
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Christoph Schwarz @electro-like.bsky.social · 25/04/2026
The many roles of the calcium-sensing receptor in the kidney | American Journal of Physiology-Renal Physiology | American Physiological Society journals.physiology.org/doi/full/10.... Very nice review !!
journals.physiology.org
The many roles of the calcium-sensing receptor in the kidney | American Journal of Physiology-Renal Physiology | American Physiological Society
The calcium-sensing receptor (CaSR) is a central regulator of renal mineral homeostasis and tubular function. Since the discovery of its expression in the kidney, numerous studies have demonstrated th...
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Reposted by Christoph Schwarz
TTVguideTX @ttvguidetx.bsky.social · 13/04/2026
New publication: the Vienna group at @meduniwien.ac.at demonstrates the predictive value of #TTV load during months 4 to 12 post-transplant for the incidence of malignancy during years 2 to 5 post-transplant. academic.oup.com/ndt/advance-...
academic.oup.com
Torque teno virus is predictive for malignancies after kidney transplantation
AbstractBackground and hypothesis. Malignancy, driven by the effects of immunosuppression, is a major complication following kidney transplantation. The wi
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Daniel Batlle, MD @daniel-batlle.bsky.social · 10/04/2026
Pleased to share this study by Nabil Sweis et al. in AJP-Renal where we report for the first time a comparison of Tolvaptan vs hypertonic saline to increase plasma sodium in normal volunteers doi.org/10.1152/ajpr... @feinberg.northwestern.edu @nu-nephrology.bsky.social
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Nephrology Journal Club @nephjc.bsky.social · 03/04/2026
🚨 #NephJC short 🩳from @kidneyboy.bsky.social The PUSH trial! 😉Can a wink, a nudge & a push encourage kidney stone formers to drink more fluid to prevent recurrence 🪨? (Hint: have 💦 behavioral trials worked in CHF or PCKD?) #NephSky #MedSky www.nephjc.com/news/2026/4/2/nephjc-short-the-push-trial
nephjc.com
NephJC Short: The Push Trial — NephJC
Water, water everywhere. Can a wink, a nudge and a push increase water intake to decrease kidney stone formation?
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TTVguideTX @ttvguidetx.bsky.social · 25/03/2026
If you are a Vienna resident or plan a spring visit to the most liveable city in the World: come join us at our booth at the Researchers Night at @meduniwien.ac.at and learn about the superhero-virus #TTV: langenachtderforschung.at/station/6326
langenachtderforschung.at
Viren können Superheroes sein oder wie kann man das Immunsystem messen? - #LNF26 Lange Nacht der Forschung
Wir erforschen wie man die Stärke des Immunsystems messen kann. Zuerst erklären wir Ihnen, anhand eines Posters und eines Animationsfilms wie das funktioniert und warum uns das TT Virus dabei hilft. D...
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APS Publications @apspublications.bsky.social · 19/03/2026
Function 🔙 Throw Back Thursday: Eaton at al. demonstrated that kidney-specific knockout of #Dmxl1 disrupted V1–V0 assembly, reduced proton pumping, and raised urine pH, supporting it as a mammalian #V-ATPase assembly factor. Read the full article doi.org/10.1093/func...
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Joel Topf @kidneyboy.bsky.social · 12/03/2026
Proactive vs Reactive DDAVP: The Clamp Finally Faces an RCT Thank you Thai Air Force for doing the trials that need to be done! pbfluids.com/2026/03/proa...
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Joel Topf @kidneyboy.bsky.social · 09/03/2026
Saline Doesn’t Ruin Hyponatremia Labs (and it might help) How many times have you been evaluating a patient in the ED and bemoaned the sneaky liter of saline they got before anyone sent some urine for analysis. Turns out it doesn't ruin the labs at all. pbfluids.com/2026/03/sali...
pbfluids.com
Saline Doesn’t Ruin Hyponatremia Labs (It Might Help)
A study by Dr. Chienwichai highlights challenges in diagnosing hyponatremia due to undisclosed intravenous saline administration. While saline infusion does not obscure urine biochemical tests, it …
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Florian Buchkremer @swissnephro.bsky.social · 08/03/2026
The HIT (Hyponatremia Intervention Trial) is finally out! #hyponatremia #nephrology evidence.nejm.org/doi/10.1056/...
evidence.nejm.org
A Randomized Trial of Targeted Hyponatremia Correction in Hospitalized Patients
Chronic hyponatremia is associated with adverse outcomes, including falls, neurocognitive disorders, and mortality, but whether hyponatremia itself increases morbidity and mortality, or is simply a...
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David S. Goldfarb MD @weddellite.bsky.social · 28/02/2026
We advance the understanding and importance of Ca/PO4/FGF23 in Dent disease journals.lww.com/cjasn/abstra...
journals.lww.com
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ASN Publications @asnpublications.bsky.social · 09/02/2026
This #ASNKidney360 study explored the relationship between arterial and venous blood gas parameters to develop formulas for estimating arterial values from venous samples. Read more: kidney.pub/KID1113
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Daniel Batlle, MD @daniel-batlle.bsky.social · 09/02/2026
Thank you @asnpublications.bsky.social for posting our paper on the transformation of venous to arterial blood gas. To facilitate calculations, I developed an App “Venous to Arterial Blood Gas” available for free (apps.apple.com/us/app/venou...) @nu-nephrology.bsky.social @feinberg.northwestern.edu
apps.apple.com
Venous to Arterial Blood Gas App - App Store
Download Venous to Arterial Blood Gas by Daniel Batlle on the App Store. See screenshots, ratings and reviews, user tips, and more apps like Venous to Arterial…
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Kidney International @kidneyint.bsky.social · 06/01/2026
Parathyroid hormone suppression profiles following oral calcium challenge in kidney transplant recipients doi.org/10.1016/j.kint.2025.11.019 #NephSky #MedSky #OpenAccess -Early calcium–PTH dynamics could define PT-HPT subtypes & 🔓 personalized treatment
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American Journal of Kidney Diseases @ajkd.bsky.social · 02/01/2026
Perspective by Richard H. Sterns and Helbert Rondon-Berrios: Revisiting New Data on the Mortality Benefit of Rapid Correction of Hyponatremia: Déjà vu All Over Again bit.ly/42Sl41K
Potential confounders in studies identifying associations between plasma sodium correction rates and mortality. Na = sodium, AVP = arginine vasopressin A) A perceived causal relationship between an exposure and an outcome can be distorted by a third variable, known as a confounder. B) The serum sodium correction rate is the exposure, mortality is the outcome, and certain comorbidities and their severity act as confounders influencing both variables. C) Advanced stages cirrhosis, heart failure, and cancer are linked to higher mortality risk, sustained AVP release, and reduced kidney function, leading to impaired water excretion and slow serum sodium correction. D) In early stages of these conditions—or in their absence—patients exhibit better survival and, because hyponatremia is usually the result of reversible conditions with relatively preserved kidney function, serum sodium can rise rapidly through large-volume water diuresis.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 03/01/2026
Wow - excellent discussion of the totally underwhelming BICAR-ICU2 trial podcasts.apple.com/ca/podcast/f... @nephcrit.bsky.social fighting a line fight against the unimpressed nephrons with guest @weddellite.bsky.social #NephSky #EMIMCC
podcasts.apple.com
FF 88 BICARICU-2, Bicarbonate in the ICU. Helpful or just a number fixer?
Podcast Episode · Freely Filtered, a NephJC Podcast · 2025-12-27 · 1h 25m
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Daniel Batlle, MD @daniel-batlle.bsky.social · 26/12/2025
Nice way to end the year being part of this paper in Cell showing that PIEZO2 is an essential regulator of renin by @rose-hill.bsky.social and top scientists including @ardemp.bskyverified.social www.cell.com/cell/fulltex... @cellpress.bsky.social @nu-nephrology.bsky.social@nufeinbergmed.bsky.social
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Alan Yu @alanyuneph.bsky.social · 03/12/2025
Now out @jclinicalinvest led by Christine_Behm with fantastic team of collaborators👇 We discover a corticomedullary gradient for Ca in kidney and show a critical role for claudin-2, with implications for kidney stone disease. @kumedcenter.bsky.social www.jci.org/articles/vie...
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Clinical Kidney Journal @ckj-era.bsky.social · 21/11/2025
What to do with key cardiovascular drugs when kidney function worsens? doi.org/10.1093/ckj/...
doi.org
What to do with key cardiovascular drugs when kidney function worsens?
Abstract. Patients with advanced cardiovascular kidney metabolic syndrome generally face a high risk of cardiovascular complications. Guideline-directed me
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Gregor Bond @gregorbond.bsky.social · 14/11/2025
Immune Monitoring Goes Viral 🦠 Torque Teno Virus for Immunologic Risk Stratification After Kidney Transplantation ⏩️ new review in TI 🔥 doi.org/10.3389/ti.2... #ttvguide
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Hans-Joachim Anders @hjanders.bsky.social · 03/11/2025
The fundamental difference between water and salt water (volume) was better known at the time of Homer Smith, where they wondered how the salmon can start and end life in fresh water while spending most of life in salt water
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David Sas @davidsas.bsky.social · 27/10/2025
I'm super proud of this work detailing the results of genetic testing in hundreds of kidney stone formers. We identified genetic causes for stones in 34% of those tested (47% if < 16 y.o.). So thankful for such great collaborators & patients! journals.lww.com/cjasn/fullte... #nephrology #mayoclinic
journals.lww.com
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American Journal of Kidney Diseases @ajkd.bsky.social · 23/10/2025
Perspective by Richard H. Sterns and Helbert Rondon-Berrios: Revisiting New Data on the Mortality Benefit of Rapid Correction of Hyponatremia: Déjà vu All Over Again bit.ly/42Sl41K
Potential confounders in studies identifying associations between plasma sodium correction rates and mortality. Na = sodium, AVP = arginine vasopressin A) A perceived causal relationship between an exposure and an outcome can be distorted by a third variable, known as a confounder. B) The serum sodium correction rate is the exposure, mortality is the outcome, and certain comorbidities and their severity act as confounders influencing both variables. C) Advanced stages cirrhosis, heart failure, and cancer are linked to higher mortality risk, sustained AVP release, and reduced kidney function, leading to impaired water excretion and slow serum sodium correction. D) In early stages of these conditions—or in their absence—patients exhibit better survival and, because hyponatremia is usually the result of reversible conditions with relatively preserved kidney function, serum sodium can rise rapidly through large-volume water diuresis.
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Daniel Batlle, MD @daniel-batlle.bsky.social · 16/10/2025
Thanks to @asnpublications.bsky.social for highlighting our feature on a new syndrome of renal tubular alkalosis! www.kidneynews.org/view/journal... @nu-nephrology.bsky.social @nufeinbergmed.bsky.social
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Christoph Schwarz @electro-like.bsky.social · 15/10/2025
doi.org/10.1172/JCI1.... distal renal tubular alkalosis - I have been waiting for this publication for years😉
doi.org
JCI - A gain-of-function mutation in ATP6V0A4 drives primary distal renal tubular alkalosis with enhanced V-ATPase activity
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Joel Topf @kidneyboy.bsky.social · 11/10/2025
New episode of Channel Your Enthusiasm, part 2 of 3 on metabolic acidosis. Episode with chapter art, chapters, and fully referenced www.rosebook.club/episodes/202...
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