AJKD Atlas of Renal Pathology: IgA Nephropathy

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AJKD Atlas of Renal Pathology: IgA Nephropathy Agnes B. Fogo, MD, Mark A. Lusco, MD, Behzad Najafian, MD, Charles E. Alpers, MD  American Journal of Kidney Diseases  Volume 66, Issue 5, Pages e33-e34 (November 2015) DOI: 10.1053/j.ajkd.2015.08.001 Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 1 Immunoglobulin A nephropathy with moderate mesangial expansion and proliferation (periodic acid–Schiff stain). Reproduced with permission from AJKD 31(4):e1. American Journal of Kidney Diseases 2015 66, e33-e34DOI: (10.1053/j.ajkd.2015.08.001) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 2 Immunoglobulin A nephropathy with endocapillary proliferation and cellular crescent formation (Jones silver stain). American Journal of Kidney Diseases 2015 66, e33-e34DOI: (10.1053/j.ajkd.2015.08.001) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 3 Immunoglobulin A nephropathy with segmental sclerosis (periodic acid–Schiff stain). Reproduced with permission from AJKD 31(4):e1. American Journal of Kidney Diseases 2015 66, e33-e34DOI: (10.1053/j.ajkd.2015.08.001) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 4 The diagnosis of immunoglobulin A (IgA) nephropathy is based on the finding of dominant or codominant IgA mesangial deposits. C3 is often present in the mesangium, usually equal to or less than IgA staining (immunofluorescence microscopy, IgA). Reproduced with permission from AJKD 31(4):e1. American Journal of Kidney Diseases 2015 66, e33-e34DOI: (10.1053/j.ajkd.2015.08.001) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 5 Mesangial deposits with increased mesangial matrix and cellularity in immunoglobulin A nephropathy (electron microscopy). Reproduced with permission from AJKD 31(4):e1. American Journal of Kidney Diseases 2015 66, e33-e34DOI: (10.1053/j.ajkd.2015.08.001) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions

Figure 6 Subendothelial deposits in glomerular capillary walls can be seen in more active immunoglobulin A nephropathy (electron microscopy). American Journal of Kidney Diseases 2015 66, e33-e34DOI: (10.1053/j.ajkd.2015.08.001) Copyright © 2015 National Kidney Foundation, Inc. Terms and Conditions