Thomas Stehlé
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tstehle.bsky.social
Thomas Stehlé
@tstehle.bsky.social
Néphrologue HU Henri Mondor
Pinned
Very happy to share our article just published in @radiology_rsna. If iodinated contrast media such as iohexol or iothalamate are ideal exogenous tracers for measuring GFR, why not use CT urography images to measure it?

pubs.rsna.org/doi/10.1148/...
Reposted by Thomas Stehlé
GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD

bit.ly/3XsLlQY #OpenAccess
November 13, 2025 at 11:01 PM
GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD - American Journal of Kidney Diseases www.ajkd.org/article/S027...
GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD
Opportunistic CT-based screening is the practice of exploiting incidental imaging data for prevention, risk profiling, or presymptomatic detection of relevant disease unrelated to the purpose for whic...
www.ajkd.org
November 12, 2025 at 6:28 PM
Reposted by Thomas Stehlé
#LiverCyst #Infection Outcomes in Patients With Autosomal Dominant Polycystic Kidney Disease #ADPKD

#VisualAbstract by Kajaree

https://www.kireports.org/article/S2468-0249(25)00671-0/fulltext
November 10, 2025 at 2:01 PM
Reposted by Thomas Stehlé
A little opinion piece on the relationship between serum calcification propensity (T50) and progressive CAC in kidney transplant recipients 🤓
www.kireports.org/article/S246...
T50 and Calcification Progression in Kidney Transplant Recipients: Does it have to be “bad” to be useful?
The increased risk of cardiovascular disease (CVD) among kidney transplant recipients (KTR)1 is challenging for the treating physician. For KTR, CVD risk remains higher than for individuals with simil...
www.kireports.org
September 27, 2025 at 9:27 AM
Reposted by Thomas Stehlé
Check out the new KDIGO IgAN/IgAV Guideline Key Takeaways!

IgAN: kdigo.co/KDIGO-IgAN-G...

IgAV: kdigo.co/KDIGO-Guidel...

These resources are designed to provide clinicians with quick and practical access to the most important points from the new KDIGO guideline on managing #IgAN and #IgAV.
September 25, 2025 at 5:19 PM
Low Cystatin C–to–Creatinine Estimated GFR Ratio Predicts Post–Kidney Transplant Cardiovascular Events - Kidney International Reports www.kireports.org/article/S246...
Low Cystatin C–to–Creatinine Estimated GFR Ratio Predicts Post–Kidney Transplant Cardiovascular Events
A low cystatin C–based to creatinine-based estimated glomerular filtration rate (eGFR) ratio (eGFRcys/eGFRcr) is associated with poor clinical outcomes, but data in kidney transplant recipients (KTRs)...
www.kireports.org
September 18, 2025 at 2:00 PM
Reposted by Thomas Stehlé
Nice example of urate crystals in gouty tophi involving the medulla. Polarizable crystals can be see using unstained sections from the IF tissue. #renalpath #pathsky #nephsky
August 28, 2025 at 7:04 PM
Reposted by Thomas Stehlé
The Maltese Cross 🇲🇹🛡️sign is not unique to lipids, other structures can manifest it under polarized light (eg, starch, leucine crystals). Here, a rare sighting of a cast containing suspected ciprofloxacin crystals. #UrinarySediment #UrineMicroscopy #PisseProphet
July 28, 2025 at 4:26 PM
Reposted by Thomas Stehlé
La coordination de prélèvement d’organes était hier au marché de Créteil pour la Journée Nationale Du Don d’organes. Rendez-vous ce mercredi 25 juin à l’hôpital Henri-Mondor, hall principal, de 9h à 16h30 pour en savoir plus et se sensibiliser !
@ap-hp.bsky.social
June 23, 2025 at 2:44 PM
Reposted by Thomas Stehlé
Needle selection in kidney biopsy requires balancing risk of complications with benefit of obtaining diagnostic tissue. Study shows that higher needle gauge provides more tissue for diagnosis but might be associated with greater risk of complications. https://bit.ly/KID0835
#ASNKidney360
June 5, 2025 at 6:29 PM
Reposted by Thomas Stehlé
Presented at #ECO2025:

In the SURMOUNT-5 phase 3b trial involving adults with obesity without type 2 diabetes, tirzepatide was superior to semaglutide in reducing body weight and waist circumference. Full trial results: nej.md/44ZeMPz

@easoobesity.bsky.social
May 11, 2025 at 10:03 PM
Reposted by Thomas Stehlé
In the @annalsofim.bsky.social

www.acpjournals.org/doi/10.7326/... from @ucalgarymed.bsky.social team

Saline suppression test not useful in confirming primary #aldosteronism - go straight to AVS if planning Sx (and ramp up MRA to target renin if Medical management)

#NephSky #EndoSky
Confirmatory Testing for Primary Aldosteronism: A Study of Diagnostic Test Accuracy: Annals of Internal Medicine: Vol 0, No 0
Background: Confirmatory testing to verify the diagnosis of primary aldosteronism (PA) in patients who have an abnormal screening result is of uncertain benefit. Objective: To perform a blinded assess...
www.acpjournals.org
May 6, 2025 at 10:34 AM
Reposted by Thomas Stehlé
Urea to Treat Hyponatremia Due to Syndrome of Inappropriate Antidiuretic Hormone Secretion: A Systematic Review and Meta-Analysis

bit.ly/3XM0b53
May 7, 2025 at 10:02 PM
Myosteatosis, the infiltration of fat into muscles, is associated with the risk of surgical complications after kidney transplantation.

This is what we have shown in this study involving the nephrology, radiology and urology departments at @hophenrimondor.bsky.social .

doi.org/10.1002/jcsm...
Myosteatosis as a New Risk Factor of Surgical Complications in Kidney Transplant Recipients: A Retrospective Study
Background Computed tomography (CT) scan–defined myosteatosis is a common feature in ESKD patients receiving kidney transplantation (KT) and is associated with mortality after KT. We aimed to explor...
doi.org
May 7, 2025 at 9:33 PM
Reposted by Thomas Stehlé
Discrepancies between creatinine- and cystatin C-based equations:
Less dicrepancies with EKFC (and LMR) equations than with CKD-EPI equations!
free access
thanks to all co-authors
www.sciencedirect.com/science/arti...
Discordant Results Between Creatinine- and Cystatin C-based Equations for Estimating GFR
Discordant results between cystatin C and creatinine in estimating glomerular filtration rate (GFR) are an important medical issue. However, the equat…
www.sciencedirect.com
May 5, 2025 at 12:45 PM
Reposted by Thomas Stehlé
Interested in learning more about the art of microscopic examination of the urinary sediment and its clinical applications? @jrseltzer.bsky.social @swethakanduri.bsky.social and I will be running a Hands-On Workshop at KidneyCon this year. Come join us! @kidneycon.bsky.social May 1-3. Register ASAP
April 1, 2025 at 6:26 PM
Reposted by Thomas Stehlé
One question was still open: is the diabetic status (in itself) influencing the performance of eGFR? We show the answer is No

academic.oup.com/ndt/article/...
@tstehle.bsky.social
Diabetic status and the performances of creatinine- and cystatin C–based eGFR equations
ABSTRACTBackground. The estimation of glomerular filtration rate (GFR) is one tool to detect renal disease. The most used biomarker remains serum creatinin
academic.oup.com
February 28, 2025 at 1:35 PM
Reposted by Thomas Stehlé
Enfin un papier qui répond de façon claire à ce qu'on soit faire devant du BK virus. Réduire l'IS et ne pas mettre d'everolimus. Bravo aux auteurs.
www.kidney-international.org/article/S008...
Insights from the BKEVER Trial comparing everolimus versus mycophenolate mofetil for BK Polyomavirus infection in kidney transplant recipients
The MTOR inhibitors have demonstrated antiviral properties, and prior non-randomized studies have suggested they may have a suppressive effect on BKPyV replication. Here, in this randomized, multicent...
www.kidney-international.org
February 19, 2025 at 6:36 AM
Reposted by Thomas Stehlé
➡️ A Targeted Release Capsule of Lanthanum Carbonate: a New Efficient Cheap Treatment for Primary Hyperoxalurias www.kireports.org/ar...
February 4, 2025 at 12:01 PM
This GFR calculator, available on the French-speaking Nephrology Society website, includes EKFC equations in addition to CKDEPI equations, as well as pediatric equations. It can be used across the whole age spectrum, even by non-French-speaking nephrologists! www.sfndt.org/professionne...
February 3, 2025 at 6:05 PM
Reposted by Thomas Stehlé
1/Hey #NephSky! Welcome to a 🆕 #MedSky #Skytorial brought to you by @kireports.bsky.social @isnkidneycare.bsky.social! Our author is @elbaonelida.bsky.social nephrologist at Hospital General de Mexico @hgm_nefrologia. Please also check out #KIReportsCommunity educational #blogposts. FOLLOW US!
January 25, 2025 at 7:21 AM
Reposted by Thomas Stehlé
1/n One of the things that I find valuable in internal medicine in general is pattern recognition. And nephrology is not the exception. AKIs come in different flavors, we can smell the etiology based on the presentation and the way the serum Cr (sCr) rises.
a woman wearing a black shirt with butterflies on it says a repeating pattern with her hands in the air
ALT: a woman wearing a black shirt with butterflies on it says a repeating pattern with her hands in the air
media.tenor.com
January 19, 2025 at 12:17 AM