AJKD Atlas of Renal Pathology: Thrombotic Microangiopathy Mark A. Lusco, MD, Agnes B. Fogo, MD, Behzad Najafian, MD, Charles E. Alpers, MD  American Journal of Kidney Diseases  Volume 68, Issue 6, Pages e33-e34 (December 2016) DOI: 10.1053/j.ajkd.2016.10.006 Copyright © 2016 National Kidney Foundation, Inc. Terms and Conditions

Figure 1 Thrombotic microangiopathy with fibrin thrombi within glomerular capillary loops (Jones silver stain). Reproduced with permission from AJKD 34(4):e7-e8. American Journal of Kidney Diseases 2016 68, e33-e34DOI: (10.1053/j.ajkd.2016.10.006) Copyright © 2016 National Kidney Foundation, Inc. Terms and Conditions

Figure 2 Thrombotic microangiopathy with fibrin thrombi within glomerular capillary loops extending to the vascular pole (Jones silver stain). Reproduced with permission from AJKD 34(4):e7-e8. American Journal of Kidney Diseases 2016 68, e33-e34DOI: (10.1053/j.ajkd.2016.10.006) Copyright © 2016 National Kidney Foundation, Inc. Terms and Conditions

Figure 3 Thrombotic microangiopathy in the chronic stage with basement membrane splitting and segmental endocapillary hypercellularity (Jones silver stain). Reproduced with permission from AJKD 34(4):e7-e8. American Journal of Kidney Diseases 2016 68, e33-e34DOI: (10.1053/j.ajkd.2016.10.006) Copyright © 2016 National Kidney Foundation, Inc. Terms and Conditions

Figure 4 Thrombotic microangiopathy with fibrin thrombus extending to larger vessel. Cortical necrosis is present (Jones silver stain). Reproduced with permission from AJKD 34(4):e7-e8. American Journal of Kidney Diseases 2016 68, e33-e34DOI: (10.1053/j.ajkd.2016.10.006) Copyright © 2016 National Kidney Foundation, Inc. Terms and Conditions

Figure 5 Thrombotic microangiopathy with fibrin tactoids, endothelial cell swelling, and expansion of the lamina rara interna (electron microscopy). Reproduced with permission from AJKD 34(4):e7-e8. American Journal of Kidney Diseases 2016 68, e33-e34DOI: (10.1053/j.ajkd.2016.10.006) Copyright © 2016 National Kidney Foundation, Inc. Terms and Conditions

Figure 6 Thrombotic microangiopathy in the chronic stage with new basement membrane formation and early cellular interposition with expansion of the lamina rara interna (electron microscopy). Reproduced with permission from AJKD 34(4):e7-e8. American Journal of Kidney Diseases 2016 68, e33-e34DOI: (10.1053/j.ajkd.2016.10.006) Copyright © 2016 National Kidney Foundation, Inc. Terms and Conditions