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. 2015 Apr;8(2):131-6.
doi: 10.1093/ckj/sfu105. Epub 2014 Oct 20.

Crystalline-induced kidney disease: a case for urine microscopy

Affiliations

Crystalline-induced kidney disease: a case for urine microscopy

Randy L Luciano et al. Clin Kidney J. 2015 Apr.
No abstract available

Keywords: calcium oxalate; light chains; methotrexate; uric acid; urine microscopy.

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Figures

Fig. 1.
Fig. 1.
Acute calcium oxalate nephropathy from ethylene glycol intoxication. (A) Urine sediment demonstrates calcium oxalate crystalline cast under light microscopy (×400) and with (B) polarization (×400). (C) Renal histology reveals calcium oxalate crystals within renal tubules under light microscopy (H&E, ×400) and with (D) polarization (×400).
Fig. 2.
Fig. 2.
Myeloma LC crystalline-induced kidney injury. (A and B) Urine sediment reveals monoclonal LC casts under light microscopy (×400). (C) Renal histology demonstrates monoclonal LC crystals within renal tubules under light microscopy (H&E, ×400) and with (D) electron microscopy.
Fig. 3.
Fig. 3.
Methotrexate crystalline-induced kidney injury. (A) Urine sediment shows free and clumped methotrexate crystals under light microscopy (×400) and a (B) methotrexate crystalline cast (× 400).
Fig. 4.
Fig. 4.
Uric acid crystalline nephropathy. (A) Urine sediment reveals free uric acid crystals under light microscopy (×100) and a (B) uric acid crystalline cast (×600).
Fig. 5.
Fig. 5.
Sulfadiazine crystalline-induced kidney injury. (A) Urine sediment demonstrates free sulfadiazine crystals under light microscopy (×100) and a (B) sulfadiazine crystalline cast (×200).

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