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Fundamentals of Renal Pathology

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Fundamentals of Renal Pathology

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Fundamentals of Renal Pathology

Agnes B. Fogo, Arthur H. Cohen, J. Charles Jennette, Jan A. Bruijn, Robert B. Colvin

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Agnes B. Fogo, M.D. Jan A. Bruijn, M.D., Ph.D.

Vanderbilt University Medical Center Leiden University Medical Center Nashville, TN, USA Leiden, the Netherlands

Arthur H. Cohen, M.D. Robert B. Colvin, M.D.

Cedars-Sinai Medical Center Massachusetts General Hospital UCLA School of Medicine Boston, MA, USA

Los Angeles, CA, USA J. Charles Jennette, M.D.

University of North Carolina Chapel Hill, NC, USA

Library of Congress Control Number: 2005939064 ISBN-10: 0-387-31126-2 e-ISBN 0-387-31127-0 ISBN-13: 978-0387-31126-5

Printed on acid-free paper.

© 2006 Springer Science+Business Media, LLC

All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights.

Printed in the United States of America. BS/EB 9 8 7 6 5 4 3 2 1

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v

Table of Contents

Section I: Renal Anatomy and Basic Concepts and Methods in

Renal Pathology . . . 1 1. Renal Anatomy and Basic Concepts and Methods in

Renal Pathology

Arthur H. Cohen . . . 3 Section II: Glomerular Diseases with Nephrotic Syndrome

Presentations . . . 19 2. Membranous Glomerulopathy

Jan A. Bruijn . . . . 21 3. Membranoproliferative Glomerulonephritis

Agnes B. Fogo . . . 30 4. Minimal Change Disease and Focal

SegmentalGlomerulosclerosis

Agnes B. Fogo . . . . 40 Section III: Glomerular Disease with Nephritic

Syndrome Presentations. . . 53 5. Postinfectious Glomerulonephritis

Jan A. Bruijn . . . 55 6. Immunoglobulin A Nephropathy and

Henoch-Schönlein Purpura

J. Charles Jennette . . . 61 7. Thin Basement Membranes and Alport’s Syndrome

Agnes B. Fogo . . . 70 Section IV: Systemic Diseases Affecting the Kidney. . . 77

8. Lupus Glomerulonephritis

Jan A. Bruijn . . . 79 9. Crescentic Glomerulonephritis and Vasculitis

J. Charles Jennette . . . 99

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vi Table of Contents

Section V: Vascular Diseases . . . 115 10. Nephrosclerosis and Hypertension

Agnes B. Fogo . . . 117 11. Thrombotic Microangiopathies

Agnes B. Fogo . . . 125 12. Diabetic Nephropathy

J. Charles Jennette . . . 132 Section VI: Tubulointerstitial Diseases . . . 143 13. Acute Interstitial Nephritis

Arthur H. Cohen . . . 145 14. Chronic Interstitial Nephritis

Arthur H. Cohen . . . 149 15. Acute Tubular Necrosis

Arthur H. Cohen . . . 153 Section VII: Plasma Cell Dyscrasias and Associated Renal

Diseases . . . 159 16. Bence Jones Cast Nephropathy

Arthur H. Cohen . . . 161 17. Monoclonal Immunoglobulin Deposition Disease

Arthur H. Cohen . . . 165 18. Amyloidosis

Arthur H. Cohen . . . 170 19. Other Diseases with Organized Deposits

Arthur H. Cohen . . . 174 Section VIII: Renal Transplant Pathology . . . 179 20. Allograft Rejection

Robert B. Colvin . . . 181 21. Calcineurin Inhibitor Toxicity, Polyoma Virus, and

Recurrent Disease

Robert B. Colvin . . . 201 Index . . . 209

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