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Jan 27 8 tweets 3 min read
1/ This week’s #ThrowbackThursday tweetorial is a quick reference to the Banff classification which traces its origin to one of the most beautiful places in North America.
2/ In 1991, the first conference was conducted in Banff Canada and included a multidisciplinary team. At this time there were considerable differences between pathologists for biopsy interpretation. A standardized approach to improve patient care was proposed.
3/ A manuscript was refined over time and first published in 1993. pubmed.ncbi.nlm.nih.gov/8377384/
4/ Over time, the criteria has been updated as biannual meetings were held and the most recent comprehensive criteria, from the 2017 meeting, is shown below. pubmed.ncbi.nlm.nih.gov/29243394/
5/ A nice overview of the 2017 criteria can be found here: journals.lww.com/transplantjour…
6/ And finally, the 2019 meeting provided updates on chronic active T-cell mediated rejection as well as borderline rejection and antibody-mediated rejection. onlinelibrary.wiley.com/doi/full/10.11…
7/ These criteria for evaluation allograft rejection have been enormously useful to the field of nephrology. More information on The Banff Foundation for Allograft Pathology can be found here. banfffoundation.org
8/ This has been a tweetorial by @ghobby

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More from @KIReports

Oct 12, 2021
1/ 📢📢#tweetorial alert# 📢📢
#nephtwitter #medtwitter
Poll: What are the complications of Renal biopsy?🔫
2/ Bleeding can occur at 3 sites:
🚩Into the collecting system➡️ microscopic or gross hematuria ➡️ureteral obstruction
🚩Underneath the renal capsule ➡️ pressure tamponade & pain
🚩Into the perinephric space ➡️ hematoma formation
pubmed.ncbi.nlm.nih.gov/10846435/
3/ Rarely, severe bleeding may occur due to puncture of : 🩸
📌renal artery,
📌aorta
📌venous collaterals ( in renal vein thrombosis)
Read 17 tweets
Aug 5, 2021
1/ A story about anti-GBM disease for #ThrowbackThursday — starting with the initial case report by Dr. Ernest Goodpasture himself. pubmed.ncbi.nlm.nih.gov/19680020/
2/ In late September 1918, Dr. Ernest Goodpasture admitted a patient to the hospital with what initially appeared to be a quote “typical attack of influenza.” He presented with a 3 day history of cough, dyspnea and fever to 103.0.
3/ He had no clinical evidence of pneumonia. His fever resolved and he was discharged home 3 days later. He felt ill after discharge, but returned to work. His cough persisted though, and weight loss and fatigue worsened.
Read 15 tweets
Aug 4, 2021
1/ We have all heard of monoclonal gammopathy of renal significance, but which conditions are considered as a manifestation of MGRS?
2/ A recent KI Reports paper gives a nice review of MGRS
kireports.org/article/S2468-…
3/ 3% of the general population >50 years old has MGUS and only a small percentage (1%) progress to malignancy such as myeloma or lymphoplasmacytic lymphoma. These patients are observed over time and no chemotherapy is given
Read 7 tweets

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