Publications by authors named "Vrushali Mahajan"

Background: Acute tubular injury (ATI) is a common diagnosis on renal biopsy. There are no accepted parameters to assess the severity of injury or predict recovery. An objective histologic grading system would be of immense value in clinical practice.

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  • Renal aspergillosis is a rare but serious complication following kidney transplants, highlighted by the case of a 45-year-old man who had a transplant from his mother.
  • After initially recovering, the patient faced kidney dysfunction and signs of systemic infection due to active antibody-mediated rejection, leading to a diagnosis of renal aspergillosis.
  • Despite aggressive treatment efforts, the patient's condition worsened to renal graft cortical necrosis, resulting in the need for nephrectomy, emphasizing the importance of early diagnosis and intervention in transplant patients.
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  • Membranous nephropathy (MN) is a major cause of nephrotic syndrome in non-diabetic adults and can be primary (due to autoantibodies) or secondary to other illnesses.
  • A rare type, NELL-1-associated MN, poses diagnostic challenges and can lead to complications like renal vein thrombosis (RVT), which is not often documented.
  • A case study of a 43-year-old male with NELL-1-positive MN complicated by RVT shows successful treatment with thrombolysis and emphasizes the need for more research on anti-NELL-1 antibodies and personalized anticoagulation strategies for better management.
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Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder known for its intricate clinical manifestations, spanning a spectrum of symptoms, including neuropsychiatric SLE (NPSLE) and lupus nephritis (LN). This condition predominantly affects young women of childbearing age, presenting a diverse array of symptoms that pose challenges in both diagnosis and treatment. Diagnosing central nervous system (CNS) involvement in SLE remains notably difficult despite being rooted in an autoimmune inflammatory response driven by cytokine surges.

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Anti-glomerular basement membrane (Anti-GBM) disease is a severe form of glomerulonephritis (GN) that predominantly impacts individuals aged 20 to 70. It arises from the presence of circulating antibodies that specifically target an antigen inherent to the basement membranes of glomerular and alveolar structures. A unique subset within this category is termed atypical anti-GBM disease.

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  • Lupus nephritis (LN) is a serious complication of systemic lupus erythematosus (SLE) that can lead to rapid kidney failure requiring immediate treatment.
  • Crescentic lupus nephritis is a rare form that can result in quickly progressing renal failure (RPRF).
  • Collapsing glomerulopathy (CG) is associated with lupus nephritis and indicates a severe kidney issue related to lupus, though it's not frequently discussed in medical literature.
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Kidney disease poses a significant burden on individuals with HIV infection. In the pre-ART era, HIV-associated nephropathy (HIVAN) was the most common renal pathology identified in individuals with HIV. However, the widespread use of ART has led to changes in the spectrum of renal pathologies associated with HIV.

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Coexistence of pulmonary cryptococcosis with other infections has commonly been described in immuno-suppressed individuals. In immuno-competent hosts, such coexistence is rare and mostly described in disseminated disease or uncommonly involving different sites. The simultaneous coinfection of cryptococcosis and tuberculosis of lung in an immuno-competent host is extremely rare with only one previously reported case in the literature.

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Metastasis to spleen is rare and usually occurs in the setting of extensive multivisceral metastatic disease. A 60-year-old lady with appropriately managed early breast cancer (breast conservative surgery for Grade-2 infiltrative ductal carcinoma [0.7 cm × 0.

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Angiosarcoma arising in a schwannoma is extremely rare with only fourteen cases having been reported in the literature to the best of our knowledge. Amongst these fourteen, only five cases developed from vagal schwannoma. We describe a case of epithelioid angiosarcoma arising in a long standing vagal schwannoma in a 41 years male patient.

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