Prakash Gudsoorkar Profile picture
Academic Nephron | @UCKidney | ❤️ everythin abt Kidney

Mar 25, 2022, 11 tweets

Hot out of press.
"AKI in critically ill patients with cancer"

@ShrutiGkidney @BWHKidney @MGHKidneys @DanaFarber
@kdjhaveri @HofstraKidney
@CJASN
@onconephsociety
@UCincyMedicine @UCKidney @UCincyIM
#Onconephrology

Causes of AKI in pts with cancer in nutshell ⬇️

⭐️Phenotypes of AKI from monoclonal gammopathy
⭐️ Data suggest that patients with MGRS are at high risk for progression to kidney failure if not treated with clone-directed therapy (e.g., bortezomib)

Read more about it in the section "Monoclonal Gammopathies and AKI" ⬇️

⭐️Other etiologies of AKI in cancer
Hypercalcemia
Direct kidney parenchymal infiltration
Obstruction⬇️

⭐️Conventional chemoRx toxicities ⬇️

Prototype chemoRX AKI from Cisplatin : Mediated by apoptosis, inflammation, DNA and mitochondrial injury ⬇️

HSCT associated AKI
The flowchart sums it all ⬇️

AKI from targeted therapies.
check out the table which summarizes it. ⬇️

A brief synopsis of AKI from
-ImmunoRx
-CellularRx (CAR-T cell)
-TMA
-Hemodynamic causes
-TLS⬇️

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