Cast Nephropathy


Figure A. xxxx

 

 

 

 

 

   

 

Clinical History: A 56-year-old female with acute kidney injury, likely with history of CKD. Creatinine increased from 2.4 in May to 5.5 now with no clear etiology. She had been on large numbers of herbal supplements, now discontinued. Initial evaluation showed ATN casts, now gone without improvement in creatinine.

Immunoflourescence: Tubular casts are strongly positive for lambda (3+)


(Last Edition: February 21, 2024 )