Swapnil Hiremath 🍁🇨🇦
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hswapnil.medsky.social
Swapnil Hiremath 🍁🇨🇦
@hswapnil.medsky.social
Nephrologist = kidney doctor
MD, MPH
Professor, University of Ottawa/Ottawa Hospital 🇨🇦
He/Him/His
#NephJC co-creator, @FreelyFiltered.bsky.social pod panelist
#NephSky
https://www.swapnilhiremath.com
Reposted by Swapnil Hiremath 🍁🇨🇦
3/ Most tophi are also associated with crystalline clefts formed by the deposition of monosodium urate (see arrow). Urate crystals are best seen in alcohol-fixed tissue or in frozen tissue sections, since most crystals dissolve after routine formalin fixation.
November 11, 2025 at 2:02 PM
Reposted by Swapnil Hiremath 🍁🇨🇦
2/ Tophi frequently occur in the medulla, and usually consist of central regions of acellular, granular material surrounded by epithelioid macrophages, syncytial-type giant cells, and lymphocytes.
November 11, 2025 at 2:02 PM
No dialysis >>> better dialysis?

Prevention is where the action is

Though looking forward to the H4RT trial

#Kidneywk
November 10, 2025 at 9:55 PM
journals.lww.com
November 10, 2025 at 12:03 PM
Newsletter — NephJC
www.nephjc.com
November 10, 2025 at 12:34 AM
that comes to

NEJM 3
JAMA 4
JAMA IM 1
JNO 1
Lancet 2
Nature Med 1
JASN 2
KI 1
KI Reports 1

= 16

#KidneyWk
November 9, 2025 at 11:30 PM