National Kidney Foundation 2013 Spring Clinical Meetings Abstracts

Abstracts National Kidney Foundation 2013 Spring Clinical Meetings Abstracts ACUTE KIDNEY INJURY/ICU MEDICINE 3 Acute Tubulointerstitial Nephritis as a Cause of Acute Kidney Injury in IgA Nephropathy Gaurav Agarwal, Jesse Wickham, Daniel Riley, Sherry Werner; University of Texas Health Science Center, San Antonio, Texas, USA 8 Urine Catalytic Iron and Neutrophil Gelatinase Associated Lipocalin as Companion Early Markers of Acute Kidney Injury After Cardiac Surgery: A Prospective Pilot Study Krittapoom Akrawinthawong, Michael K. Shaw1, Joshua Kachner1, Eugene O. Apostolov2, Alexie G. Basnakian2, Sudhir Shah2, Jacqueline Tilak1, Peter A. McCullough1; St. John-Providence Health System, Detroit, Michigan, USA; University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA 13 Cocaine-Induced Acute Interstitial Nephritis Rodrigo Alfaro1, George R. Aronoff1, Paisit Paueksakon2, Nina Vasavada1; 1Division of Nephrology, Department of Medicine, University of Louisville School of Medicine, Louisville, KY, USA; 2Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA 32 Rifampin Induced Hypercalcemia: Rare Cause of CalcitriolMediated Hypercalcemia Ramandeep S. Banga, Maria Nieva Salazar; Medical University of South Carolina, Charleston, SC, USA 34 A Cautionary Tale: Dabigatran Toxicity Associated With Allergic Interstitial Nephritis Praveena Basetty, Keith Bellovich; St. John Hospital and Medical Center, Detroit, Michigan, USA 42 Management of Prosthetic Joint Infection and Risk of AKI: A Decision Analysis Anshul Bhalla, Gowri Raman, Susan Hadley, Eric Smith, Stephen Pauker, Madhumathi Rao; Tufts Medical Center, Boston, MA, USA 45 An Unusual Presentation of Bilateral Renal Artery Stenosis Gauri Bhutani, Marie Hogan, John Lieske; Department of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA 47 Management of Pulmonary Hemorrhage in Cryoglobunemic Membranoproliferative Glomerulonephritis (MPGN): A Review of the Literature Harpreet Bhutani, Alton B. Farris, John Doran, Titilayo O. Ilori; Emory University, Atlanta, GA, USA 48 Partial Lower Pole Necrosis of Left Kidney After Therapeutic Embolization With Infected Urinoma and Hematoma Formation in a Patient With Lupus Nephritis Michelle L. Blake1, Éva Csongrádi1,2, Tibor Fülöp1; 1Department of Internal Medicine, University of Mississippi Medical Center, Jackson, MS, USA; 2University of Debrecen, Debrecen, Hungary 60 Catalase Over-Expression in Renal Proximal Tubular Cells Attenuates Gentamycin-Induced Tubular Apoptosis in Transgenic Mice John S.D. Chan, Anastasia Shamsuyarova, Chao-Sheng Lo, Isabelle Chenier, Shao-Ling Zhang; Centre de recherche du Centre l’hospitalier de l’Université de Montréal (CRCHUM)Hôtel Dieu Hospital, Montréal, QC, Canada Am J Kidney Dis. 2013;61(4):A1-A100

80 Unexpected Complication of Rheolytic Thrombolysis Paras Dedhia, Tasneem Shah, Matthew Novak; Department of Internal Medicine, Guthrie/Robert Packer Hospital, Sayre, PA, USA 83 Severe Dialysis Disequilibrium Syndrome, Reality Not Myth Desai A., Gowda M., Bhatnagar J., Nainani N., Gundroo A., Venuto R.; Division of Nephrology, Department of Medicine, State University of New York, Buffalo, New York, USA 85 Pericardial Effusion Without Cardiac Tamponade Causing Anuric Acute Renal Failure and Hyponatremia Pradeep Dhakarwal, Anshul Kumar, Kiran M. Goli; Nephrology Division, Lehigh Valley Hospital/USF, Allentown, PA, USA 99 Acute Kidney Injury From Abdominal Compartment Syndrome in a Morbidly Obese Patient Resolved With Emergent Enterotomy Miriam Freundt, John Hix; Rochester General Hospital, Rochester, New York, USA 116 Acute Kidney Injury: An Indian Study Pramod Guru1, H.S. Kohli2, K.L. Gupta2, V. Sakhuja2, V. Jha2; 1University of Pittsburgh School of Medicine, Pittsburgh PA USA; 2PGIMER, Chandigarh, INDIA 140 Therapeutic Arsenic Trioxide Induced Acute Kidney Injury Requiring Hemodialysis Aditya Kadiyala, Mala Sachdeva, Richard Barnett, Kenar Jhaveri; Nephrology, Hofstra North Shore LIJ School of Medicine, Great Neck, NY, USA 141 High Protein Meals During Hemodialysis Treatment to Increase Serum Albumin While Controlling Phosphorus: Preliminary Results From the FREDI Study Kamyar Kalantar-Zadeh1, Rachelle Bross2, Tara Koontz2, Martin L. Lee2, Anuja Shah2, Miklos Z. Molnar1, Claudia Luna1, Jennie Jing, Debbie Benner3, Mark Unruh4, Rajnish Mehrotra5, Csaba Kovesdy6, Joel Kopple; 1Harold Simmons Center, University of California Irvine, Irvine, CA, USA; 2 Harbor UCLA Medical Center (HUMC) Torrance, CA, USA; 3DaVita, Denver, CO; 4University of New Mexico, Albuquerque, NM, USA; 5University of Washington, Seattle, WA, USA; 6University of Tennessee, Memphis, TN, USA 143 Ziprasidone Induced Neuroleptic Malignant Syndrome: A Rare Cause of Acute Kidney Injury Kiran Kandukurti, Sita Lakshmi Akkinepally, Nagaraja Rao Sridhar; University at Buffalo, The State University of New York, Buffalo, NY, USA 164 Hemodialysis Safety Analysis in Patients With Continuous Flow Left Ventricular Assist Device Dhiren Kumar, Imran Yahya Fatani, Keyur Shah, Mohammed Quader; Departments of Nephrology, Cardiology and Cardiothoracic Surgery, Virginia Commonwealth University, Richmond, VA, USA 167 Renal Failure Due to Acute Oxalate Nephropathy Following Moviprep® Bowel Cleasing Biresh Kumar; Temple, Tx, USA 196 Orlistat Induced Oxalate Nephropathy Scott McRight, Cherinet Adgeh, Bupinder Sangha, Sarah Khan, Corinna Irwin; LSUHEALTH, Overton Brooks VA, Shreveport, LA, USA A1

NKF 2013 Spring Clinical Meetings Abstracts 208 Role of the Endocannabinoid System in Ischemia-Reperfusion Renal Injury Hamdi Moradi, Fariba Oveisi, Elham Khanifar, Nosratola Vaziri, Daniele Piomelli; University of California, Irvine, California, USA 209 Acute Interstitial Nephritis in Elderly Patients Angela Muriithi1, Nelson Leung1, Anthony Valeri1, Lynn Cornell2, Mary Fidler1, Sanjeev Sethi1, Samih Nasr1; 1Mayo Clinic, Rochester, MN, USA; 2Columbia University, New York, NY, USA 214 Successful Treatment of Dialysis Dependant AKI Due to Light Chain Tubulopathy in an HIV Treatment Naïve Patient With the Combination of Plasma Exchange, HAART, and Chemotherapy Rayane Nassar, Mohamed Taha, Jorge Lamarche, Alfredo Peguero, Craig Courville; Tampa VAMC, Tampa, FL USA 217 Rhabdomyolysis-Induced Acute Kidney Injury (AKI) in a Cancer Patient Exposed to Denosumab Javier A. Neyra, Omkar Vaidya, Nancy Tran, Amin Parhizghar, Allen Hendricks, Miguel Vazquez; Division of Nephrology, University of Texas Southwestern Medical Center, Dallas, TX, USA 234 Scleroderma Renal Crisis and Acute Renal Failure as Severe Complications of Systemic Sclerosis Julianne Parente, Rute Paixao, Dianne Sandy, Beth Fromkin, Mauro Braun; Cleveland Clinic Florida, Weston, FL, USA 238 Can Venography With Inferior Vena Cava (IVC) Filter Placement Lead to Contrast Induced Nephropathy? Umabala Pasupala, Rute Paixao, Dianne Sandy, Beth Fromkin, Marlow Hernandez, Mauro Braun; Cleveland Clinic Florida, Weston, FL, USA 245 Inferior Vena Cava Ultrasound to Assess Intravascular Volume in Unstable Patients With Renal Failure Jacob Poulose, Matthew J. Kaptein, John S. Kaptein, San San Yi, Elaine M. Kaptein; University of Southern California, Los Angeles, California, USA 254 Fecal Impaction: An Unusual Cause of Acute Kidney Injury Nima Rabbani, Omid Bakhtar, Natasha Sharda, Harold M. Szerlip; University of Arizona College of Medicine, Tucson, AZ, USA 278 Acute Uric Acid Nephropathy Due to Phencyclidine Intoxication Jolina Santos, Naheed Ansari; Jacobi Medical Center, Albert Einstein College of Medicine, New York, USA 303 Crescentic Glomerulonephritis Complicating Castleman’s Disease Lonika Sood, John Kevin Hix, Stephen Silver; Rochester General Hospital, Rochester, New York, USA 313 Is ACEI/ARB Associated With Acute Kidney Injury PostCoronary Artery Bypass Grafting in a Mixed Ethnicity Population in Hawaii? Ekamol Tantisattamo1, Ma. Clarisse Toledo2, Dorothy Shigaki2, Roland C.K. Ng2; 1Renal Division, Department of Medicine, Emory University, Atlanta, USA; 2Department of Medicine, University of Hawaii, Honolulu, Hawaii, USA 316 A Case of Atypical Hemolytic Uremic Syndrome Successfully Treated With Eculizumab Bijin Thajudeen, Mahmoud Kamel, Erika Bracamonte, Amy Sussman; University of Arizona, Tucson, Arizona, USA 328 Recurrent Reversible Kidney Injury With Bath Salt Intoxication: The Agonizing Memory of Ecstasy Divyashree Varma, Pratik Dalal, Antoine Azar, Stephen Knohl; SUNY-Upstate Medical University, Syracuse, NY, USA A2

CKD/ESRD: ANEMIA 53 Simulating the Hemoglobin Target Needed to Avoid Blood Transfusion in Hemodialysis Patients Michael Brier, Romilkumar Patel; Robley Rex Veterans Medical Center and the University of Louisville, Louisville, KY 57 Red Blood Cell (RBC) Transfusion Rates Among US Chronic Dialysis Patients During Changes to Medicare End-Stage Renal Disease (ESRD) Payment Systems and to Erythropoiesis Stimulating Agent (ESA) Labels Zhun Cao1, Sanatan Shreay2, Katherine Cappell1, Helen Varker1, Matthew Gitlin2; 1Truven Health Analytics, Ann Arbor, MI, USA; 2Amgen, Thousand Oaks, CA, USA 70 Secondary Polycythemia in Hemodialysis Patient From Chronic Carbonmonoxide Exposure Neelima Chilukuri, Ashok Chaudhari; Metropolitan Hospital Center, New York, NY, USA 93 Erythropoietin Requirements in High Flux Hemodialysis; Relation to Middle Molecules Level and Oxidative Stress El-Wakil H.S.1, Abou-Zeid A.A.2, El-Gohary I.E.1, Abou El-Seoud N.A.1; 1Internal Medicine and 2Clinical Pathology Departments, Faculty of Medicine, Alexandria University, Egypt 127 Ethnic Comparison of the PK of a Novel Hypoxia–Inducible Factor Prolyl Hydroxlyase Inhibitor (GSK1278863) in Healthy Japanese and Caucasian Subjects H. Ino, S. Caltabiano, T. Sakamoto, Y. Imai, T. Hirama; GlaxoSmithKline, Tokyo, Japan 159 Hemoglobin Variation of Hospitalized Jehovah’s Witness Patients With Chronic Kidney Disease Muhammad Khattak, Sandeep Aggarwal, Talal Ali Khan, Ziauddin Ahmed; Drexel University College of Medicine, Philadelphia, PA, USA 193 Peginesatide Treatment in Hemodialysis Patients (Pts) Not on ESAs: Subgroup Analysis of Pts With Baseline Hemoglobin ⬍10 g/dL Martha Mayo, Vandana S. Mathur, Carol Francisco, Hong Tang, Sandra Tong, Anne-Marie Duliege, Krishna R. Polu; Affymax, Inc., Palo Alto, CA, USA 204 Association Between Facility Hemoglobin (HB) Concentration and Patient Risk of Transfusions Julia T. Molony1, Suying Li1, David T. Gilbertson1, Keri L. Monda2, Brian D. Bradbury2, Allan J. Collins1; 1CDRG, Minneapolis, MN, USA; 2Amgen, Thousand Oaks, CA, USA 242 Anemia Management Using Darbepoetin Alfa Among Peritoneal Dialysis (PD) Patients at Wake Forest Outpatient Dialysis (WFOPD) James Pirkle Jr.1, Carly J. Paoli2, Greg Russell3, Jeffrey Petersen2, John Burkart1; 1Department of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC, USA; 2Amgen Inc., Thousand Oaks, CA, USA; 3Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA 249 Hypoxia-Inducible Factor (HIF) Prolyl Hydroxylase Inhibitor FG-2216 Increases Hb Without FE Depletion in the Absence of IV FE R. Provenzano1, H. Hulter2, A. Agarwal3, S. Klaus2, T. Lee2, P. Yu2, T. Neff2; 1St. Clair Specialty Physicians, Detroit, MI, USA; 2FibroGen, Inc., San Francisco, CA, USA; 3The Ohio State University, Columbus, OH, USA Am J Kidney Dis. 2013;61(4):A1-A100

NKF 2013 Spring Clinical Meetings Abstracts 262 Comparison of Intravenous Iron Therapy for the Treatment of Anemia in a Chronic Kidney Disease Population in a CKD Clinic Rawal Ankit; Katsulis, Paulynn; Stutz, Lumi; Marcuccilli, Morgan; Ebenuwa, Ifechukwude; Sua, Jaime; Karalis, Peter; Zhou, Ying; Ho, Tammy; North Shore University Health System, Evanston, IL, USA 285 Hemoglobin Variability When Monitoring Weekly or Monthly Imran Sethi, Adam E. Gaweda; University of Louisville, Louisville, KY, USA 296 Decreased Population Hemoglobin (HB) Levels and Increased Transfusion (TFN) Rates Under New ESA Guidelines in Patients (PTS) With ESRD at a Large Dialysis Organization (LDO) Scott Sibbel1, T. Christopher Bond1, Helen M. Wilfehrt1, Allen Nissenson2, and Mahesh Krishnan1; 1DaVita Clinical Research, Minneapolis, MN, USA; 2DaVita Healthcare Partners, Inc., Denver, CO, USA 327 Evidence of Practice Variation and Individualization in Anemia Management David Van Wyck1, Mahesh Krishnan2, Allen Nissenson1; 1 DaVita Inc, Denver, CO, USA; 2DaVita Clinical Research, Minneapolis, MN, USA 333 An Evaluation of Clinical Judgments Associated With the Decision to Transfuse Chronic Dialysis Patients Cynthia B. Whitman1, Sanatan Shreay2, Matthew Gitlin2, Martijn van Oijen1, Brennan M.R. Spiegel1; 1UCLA/VA CORE, Los Angeles, CA, USA; 2Amgen, Thousand Oaks, CA, USA 337 Once-Monthly Peginesatide Maintained Hemoglobin Levels in Peritoneal Dialysis Patients After Conversion From Epoetin Raja Zabaneh1, Simon D. Roger2, Mohamed El-Shahawy3, Michael Roppolo4, Grant Runyan5, Janet O’Neil5, Ping Qiu5; 1Northwest Louisiana Nephrology, Shreveport, LA, USA; 2Department of Renal Medicine, Gosford Hospital, Gosford, New South Wales, Australia; 3University of Southern California, Los Angeles, CA, USA; 4Renal Associates of Baton Rouge, Baton Rouge, LA, USA; 5Takeda Research & Development Center, Inc., Deerfield, IL, USA

CKD/ESRD: CARDIOVASCULAR DISEASE 1 Cinacalcet–Troponins: Is There an Undiscovered Link? Samra Abouchacra, Ahmed Chaaban, Fares Chedid, Nicole Gebran, Mohd Buddruddin, Mohd Ahmed, Faiz Abayechi, Farida Marzouki, MuhyEddin Hassan; Tawam Hospital, UAE 44 Prevalence of Orthostatic Variation in Blood Pressure Among Stable Outpatient Chronic Kidney Disease Population Samrat Bhat1, Shruti Hegde2, Susan Szpunar2, Susan Steigerwalt3; 1St John Hospital and Medical Center, Toledo, OH, USA; 2St John Hospital and Medical Center, Detroit, MI, USA; 3Providence Hospital, Detroit, MI, USA 154 Risk of Recurrent Gastrointestinal Bleeding in Anticoagulated Patients With Chronic Kidney Disease and End Stage Renal Disease Fatima Khalid, Sophia Qureshi, Zaid Alirhayim, Roofan Alsayegh, Syed Hassan, Chetan Mittal, Waqas Qureshi; Department of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA 320 Sleep Disordered Breathing and Cardiovascular Risk in Older Patients Initiating Dialysis C. Vaughan Tuohy, Maria E. Montez-Rath, Mintu Turakhia, Tara I. Chang, Wolfgang C. Winkelmayer; Stanford University School of Medicine, Palo Alto, CA, USA Am J Kidney Dis. 2013;61(4):A1-A100

334 Evaluation of Oral Dabigatran Etexilate Pharmacokinetics and Pharmacodynamics in Hemodialysis Patients Jo-Anne Wilson1,3, Kerry B. Goralski1,2, Steven D. Soroka3, David R. Anderson4, Matthew J. Morrison1, Paula Mossop3; 1 College of Pharmacy, Faculty of Health Professions; 2Department of Pharmacology, Faculty of Medicine, Dalhousie University; 3Division of Nephrology, Division of Hematology4, Department of Medicine, Capital District Health Authority (CDHA), Halifax, Nova Scotia, Canada

CKD/ESRD: MINERAL METABOLISM AND KIDNEY STONES 5 Severe Symptomatic Hypocalcemia After Denusomab Administration in Peritoneal Dialysis Mohit Agarwal1, Mihály Tapolyai2, Christian Koch1, Vonda Echols1, Éva Csongrádi3, Tibor Fülöp1; 1University of Mississippi Medical Center, Jackson, MS, USA; 2Fresenius Medical Care, Semmelweis University, Budapest, Hungary; 3 1st Department of Medicine, University of Debrecen, Debrecen, Hungary 75 The Dose-Relativity of Sevelamer to Lanthanum Under RealWorld Conditions: Implications for Patient Management J. Brian Copley1, Rosamund J. Wilson2, Michael Keith1; 1 Shire Pharmaceuticals, Wayne, PA, USA; 2Spica Consultants, Marlborough, UK 77 Characteristics of a Composite CKD-MBD Measure and Associated Risk of Clinical Outcomes Among Hemodialysis Patients Mark Danese1, Ryan Kilpatrick2, Kimberly Lowe2, Wenli Wang1, Geoffrey A. Block3; 1Outcomes Insights, Westlake Village, CA, USA; 2Amgen, Inc, Thousand Oaks, CA, USA; 3 Denver Nephrologists, Denver, CO, USA 98 Importance of Understanding Phosphate Binding Capacity of Sevelamer and Lanthanum in Relation to Dietary Protein and Phosphate Intake in Chronic Hemodialysis Patients William Finn; University of North Carolina, Chapel Hill, NC, USA 102 Rapidly Progressive Kidney Injury Leading to ESRD in a Patient With Crohn’s Disease Rafael Garcia, Phillip Hall; Cleveland Clinic Foundation, Cleveland, Ohio, USA 135 Shared Medical Appointments (SMA) for Kidney Stone Prevention R. Allan Jhagroo, Steve Nakada, Kristina Penniston; Departments of Urology and Nephrology at UW, Madison, WI, USA 136 Topiramate Results in a Rapid and Progressive Decline in Urinary Citrate Over 60 Days: A Prospective Study Roy Jhagroo, Amanda Valliant, Stephen Nakada, Krista Penniston; University of Wisconsin Hospital and Clinics, Madison, WI, USA 152 Cost Implications of Switching From Sevelamer to Lanthanum Carbonate Within a Bundled Reimbursement Scenario Michael Keith1, Rosamund J. Wilson2, J. Brian Copley1; 1 Shire Pharmaceuticals, Wayne, PA, USA; 2Spica Consultants, Marlborough, UK 163 Sevelamer (SV) Is More Cost-effective Than Calcium-Based Phosphate Binders in ESRD Patients: A Cost-effectiveness (CE) and Sensitivity Analysis Shradha Kulkarni, Donald Molony; The University of Texas Houston Medical School, Houston, Texas, USA 172 Influence of Wasting on Hyperparathyroidism in Black Diabetic Hemodialysis Patients A3

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Rapeepat Lekkham, Eric Bloom, Rasib Raja; Albert Einstein Medical Center, Philadelphia, PA, USA Vitamin 25(OH) D2 and 25(OH) D3 Over Time Are Inversely Related in a Large Group of Individual Patients From an Urban Public Medical Center in Southern California Than S. Lin, San San Yi, Linda S. Chan, Elaine M. Kaptein; University of Southern California, Los Angeles, CA, USA Urinary Phosphate Excretion and Stone Type Saeed Malas, Sharon M. Moe; Indiana University, Indianapolis, IN, USA A Case of Extremely High Intact PTH Levels After Total Parathyroidectomy With Auto Transplantation in a Patient on Peritoneal Dialysis Iqbal Masood, Aqeel A. Siddiqui; Dept of Nephrology, Lankenau Medical Center, Wynnewood PA, USA Pharmacokinetic and Pharmacodynamic Profile of ModifiedRelease Calcifediol in CKD Subjects With Secondary Hyperparathyroidism and Vitamin D Insufficiency Stuart M. Sprague1, Joel Melnick2, Samir Tabash2, Charles Bishop2, Jay White2, Tina Epps2, R. Michael Rubison3, Fahd Al-Saghir4, Amit Sharma5; 1NorthShore University Health System, Evanston, IL, USA; 2Cytochroma Inc., Markham, ON, Canada; 3Flint Hills Consulting, Lake Bluff, IL, USA; 4 Michigan Kidney Consultants, Pontiac, MI, USA; 5Boise Kidney & Hypertension Institute, Meridian, ID, USA Budget Impact Associated With Converting Dialysis Patients With a High Pill Burden on Sevelamer to Lanthanum Carbonate: Opportunities for Cost-Efficiencies James Mittler1, Krystina Smith1, Michael Keith2; 1Palio, Saratoga Springs, NY, USA; 2Shire Pharmaceuticals, Wayne, PA, USA Disease Progression and Surgical Parathyroidectomy (PTX) in the Evolve Trial P. Parfrey1, G. Block2, G.M. Chertow3, R. Correa-Rotter4, B. Dehmel5, T.B. Drueke6, J. Floege7, C. Herzog8, G. London9, K.W. Mahaffe10, S. Moe11, M.-L. Trotman5, D.C. Wheeler12, W.G. Goodman5; 1Health Sciences Centre, St John’s, NL, Canada; 2Denver Nephrology, Denver, CO, USA; 3Stanford University School of Medicine, Palo Alto, CA, USA; 4 Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico; 5Amgen, Thousand Oaks, CA, USA; 6Picardie University School of Medicine and Pharmacy, Amiens, France; 7Rheinisch-Westfalische Technische Hochschule Aachen University Hospital, Aachen, Germany; 8University of Minnesota, Minneapolis, MN, USA; 9Hopital Manhes, Paris, France; 10Duke Clinical Research Institute, Durham, NC, USA; 11Indiana School of Medicine Roudebush Veterans Affairs Medical Centre, Indianapolis, IN, USA; 12University College London, London, England Examination of the Budget Impact of the Bundled Medicare Prospective Payment System on Dialysis Organizations Haesuk Park1, Karen L. Rascati1, Michael S.Keith2; 1University of Texas at Austin, Austin, Texas, USA; 2Shire Pharmaceuticals, Wayne, PA, USA PA21–A Novel Iron-Based Phosphate Binder With a Low Pill Burden: Tolerance in Dialysis Patients Anjay Rastogi, Adrian Covic, Jürgen Floege, Markus Ketteler, Edward Chong, Sylvain Gaillard, Laura Lisk, Stuart Sprague; University of California, Los Angeles, US Clinical Implication of Gene Testing in Diagnosis and Management of Primary Hyperoxaluria: Case Report

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Aneesha A. Shetty, James F. Simon, Anca Rafiroiu; Department of Nephrology, Cleveland Clinic Foundation, Cleveland, Ohio, USA Temporal Trends in the Incidence, Treatment, and Outcomes of Hip Fracture in Older Patients Initiating Dialysis in the United States Sumi Sukumaran-Nair1, Aya A. Mitani2, Benjamin A. Goldstein2, Glenn M. Chertow1, David W. Lowenberg3, Wolfgang C. Winkelmayer1; 1Division of Nephrology; 2Division of General Medical Disciplines, Department of Medicine; 3 Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, Stanford University School of Medicine, Palo Alto, CA, USA Attitudes Affect Phosphate Control in ESRD Ebele Umeukeje1, J. Carlsson2, B. Preroff1, J. Merighi3, T. Browne4, K. Wallston1, T.A. Ikizler1, K. Cavanaugh1; 1Vanderbilt University, Nashville, TN, USA; 2UW, Seattle, WA, USA; 3BU, Boston, MA, USA; 4USC, Columbia, SC, USA Racial Differences in Mineral Metabolism in the Chronic Renal Insufficiency Cohort (CRIC) Study Patricia Wahl, Isakova T., Gutierrez O.M., Scialla J., Chen J., Xie H., Bellovich K., Hsu C., Townsend R., Leonard M., Wolf M.; University of Miami Miller School of Medicine, Miami, FL, USA Serum Phosphorus Level and Pill Burden Are Inversely Associated With Adherence in Patients on Hemodialysis Steven Wang1, Thomas Alfieri1, Peter Braunhofer2, Britt Newsome3; 1DaVita Clinical Research, Minneapolis, MN, USA; 2Vifor Fresenius Medical Care Renal Pharma, Glattbrugg, Switzerland; 3Denver Nephrology, Denver, CO, USA

CKD/ESRD: PREVALENCE, PROGRESSION, PREPARATION FOR DIALYSIS 68 Comparison of Mortality Prediction Models for Elderly With ESRD Katharine L. Cheung1, Maria E. Montez-Rath1, Manjula Kurella Tamura2; 1Stanford University, Stanford, CA, USA; 2 VA Palo Alto Health Care System, Palo Alto, CA, USA 74 Perceptions of Facilitators and Barriers to Chronic Kidney Disease Educational Sessions Della E. Connor; Stephen F. Austin State University, Nacogdoches, Texas, USA 92 Body Building and Renal Damage; Could It Be Reversible? El-Wakil H.S., Abdel Naby S.A., Masoud M.,* Naga S.S.; Nephrology Unit, Internal Medicine Department, Faculty of Medicine, Biological Sciences and Healthy Sport, Faculty of Physical Education,* Alexandria University, Egypt 94 Fatigue in Patients Undergoing Hemodialysis Simin Esmaeilpour1, Banafsheh Dormanes2, Behnaz Farahani1, Azam Sajadi1, Mohammad Zare1; 1Islamic Azad University-Tehran Medical Branch, Iran; 2Army University of Medical Science, Tehran, Iran 107 Use of Repeated Estimates of GFR to Assess CKD Prevalence David T. Gilbertson, Rob Foley; Chronic Disease Research Group, Minneapolis, MN, USA 108 Chronic Kidney Disease in Patients Undergoing Conventional vs. T-Cell Depleted Hematopoietic Stem Cell Transplantation Ilya G. Glezerman1, Minhson Bui2, Sean M. Devlin1, Molly Maloy1, Ann A. Jakubowski1; 1Memorial Sloan-Kettering Cancer Center (MSKCC), New York, NY, USA; 2Weill Cornell Medical College, New York, NY, USA Am J Kidney Dis. 2013;61(4):A1-A100

NKF 2013 Spring Clinical Meetings Abstracts 131 Health Literacy in Patients on Peritoneal Dialysis Corelates and Outcomes Deepika Jain1, Jamie Green2, Steven D. Weisbord1, Heena Sheth1, Filitsa H. Bender1; 1University of Pittsburgh School of Medicine, Pittsburgh, PA; 2Geisenger Center for Health Research, Danville, PA, USA 206 Development and Psychometric Testing of a Stage 4-Specific Chronic Kidney Disease Knowledge Tool Vicki Montoya; University of Central Florida, Orlando, FL, USA 207 Improving Chronic Kidney Disease Care With Group Visits: A Feasibility Study Vicki Montoya; University of Central Florida, Orlando, FL 219 Agricultural Toxins and End Stage Renal Disease Nimkevych O., Singh J., Naljayan M., Morse S., Aguilar E.; Louisiana State University Health Sciences Center New Orleans, New Orleans, LA, USA 220 West Nile Virus and Chronic Kidney Disease: A CaseControl Evaluation Nolan M.S., Podoll A.S., Yan C., Finkel K., Murray K.O.; UT Health Science Center at Houston and Baylor College of Medicine, Houston, TX, USA 268 Development of a Chronic Kidney Disease (CKD) Surveillance System for the United States: A Centers for Disease Control and Prevention Initiative Annie Rein-Weston1, Tanushree Banerjee1, Laura Plantinga2, Elizabeth Hedgeman3, Rajiv Saran3, Neil Powe1, Nilka Rios Burrows4, and Desmond Williams4 for the CDC CKD Surveillance Team; 1UCSF, CA, USA; 2Emory University, GA, USA; 3UM, Ann Arbor; 4CDC, GA, USA

CKD/ESRD: VASCULAR ACCESS 37 Infection Rates and Associated Pathogens in Patients on Nocturnal Home Hemodialysis Over a Six Year Period Marisa Battistella, Flynn D’Souza, Karthic Tennakore, Cynthia Bhola, Charmaine Lok, Christopher Chan; University Health Network, University of Toronto 61 Experiences With Adaptation of National Kidney Foundation “Fistula First” Initiative Shing N. Chan1, Sijie Zheng1, Juan Daniel Ordonez1, Amarpreet Sandhu2; 1The Permanente Medical Group, Oakland, CA, USA; 2University of New Mexico, Albuquerque, New Mexico, USA 91 Dialysis Access Venous Stenosis: Treatment With Balloon Angioplasty 30 Second Versus 1-Min Inflation Times Mohsen Elramah, Janet Bellingham, Maureen Wakeen, Brad Astor, Alexander Yevzlin, Micah Chan; UW Hospital and Clinics, Madison, WI, USA 100 The Experience of Using Tego Needlefree Hemodialysis Connector in an Adult In-Center Hemodialysis Population Lynne Gafford, Cigdem Levi, Hassan Fehmi; Henry Ford Health System, Detroit, Michigan, USA 110 Vascular Access Placement in Patients Referred to Nephrology With CKD Stage 4 and 5 N. Goel, C. Kwon, V. Folkert, C. Bauer, M. Melamed; Montefiore Medical Center & Albert Einstein College of Medicine, Bronx, NY, US, USA 161 A Survey of Hemodialysis Practice Patterns in Canada for Hemodialysis Central Venous Catheters Kosa S.1, Lok C.1,2; 1Toronto General Hospital, Toronto, Ontario, Canada; 2University of Toronto, Toronto, Ontario, Canada Am J Kidney Dis. 2013;61(4):A1-A100

162 Predicting TPA Administration Success in Hemodialysis Patients Kosa S.1, Lok C.1,2; 1Toronto General Hospital, Toronto, Ontario, Canada; 2University of Toronto, Toronto, Ontario, Canada 168 Catheters & Survival in Home Hemodialysis (HHD) vs. Peritoneal Dialysis (PD) Patients Eduardo Lacson, Jr., Lin Ma, Franklin W. Maddux, Joseph Pulliam; Fresenius Medical Care, North America (FMCNA), Waltham, MA, USA 170 Carbothane and Silicone Hemodialysis Catheters Maintain Structural Integrity After 26 Weeks of 70% Ethanol Lock Exposure Daniel Landry1, Adam Hathorne2, George Lipkowitz1, Harry Bermudez2, Gregory Braden1; 1Baystate Medical Center, Springfield, MA, USA; 2University of Massachusetts Polymer Science Institute, Amherst, MA, USA 195 How Will the PICC Epidemic Affect Kidney Patients? Laura V. Mejia, Anastasios T. Kapetanos, Rahul Bhardwaj, Sneha Shrivastava, Rita L. McGill; West Penn Allegheny Health System, Pittsburgh, PA, USA 232 Evaluation of a Disinfection Regimen for the Treatment of CVC Access Hubs Michele Padovan, Hippolitus Odukwu, Gary J. Mishkin; Angelini Pharma, Inc., Gaithersburg, Maryland, USA 248 Effect of Implementation of Standardized Protocol on Infection Rates in Patients Utilizing the Buttonhole Cannulation Technique for Accessing AV Fistulas Padmanabhan Priyesh, Kathy Smith, David Henner; Berkshire Med Center, Pittsfield, MA, USA 250 Prospective Analysis of Hemodialysis Reliable Outflow (HeRO) Vascular Access Graft vs. Cuffed Catheter Access in Hemodialysis (HD) Patients Robert Provenzano, Matthew LaFleur, Lori McFadden, Paula LaFleur; Renaissance Renal Research Institute Detroit, MI, USA 267 Development of an Online Tutorial for Caregivers of Patients Undergoing Renal Hemodialysis: A Pilot Study to Increase Self-Efficacy of ESRD Patients Samuel B. Realista, Robyn P. Gleason, Susan D. Schaffer; College of Nursing, University of Florida, Gainesville, FL USA 270 Does Colonization of the Catheter Heparin Lock Solution Predict Future Catheter-Related Blood Stream Infections (CRBSI) in Undocumented Hemodialysis Patients? Christian Rojas-Moreno, Venkata Yalamanchili, Henry Quinones, James Luby; University of Texas Southwestern Medical Center. Dallas, Texas, USA 295 Natural History of Tunneled Dialysis Catheters in Incident Hemodialysis Patients Roman Shingarev1, Jill Barker-Finkel2, Michael Allon1; 1 Div. of Nephrology, Univ. of Alabama at Birmingham, Birmingham, AL, USA; 2Dept. of Microbiology, Montana State Univ., Bozeman, MT, USA 329 Treatment of Vitamin D Deficiency (VDD) With ERGocalciferol Is Associated With Reduced Vascular Access Dysfunction (VAD) in Chronic Hemodialysis Patients (HDP) With Type 2 Diabetis Mellitus (T2DM) Karina Vasquez, Gaurav Agarwal, Neena Penagaluru, Jonathan Gel-fond, Wajeh Y. Qunibi; University of Texas Health Science Center, San Antonio, Texas, USA A5

NKF 2013 Spring Clinical Meetings Abstracts

CKD/ESRD: OTHER 10 Nephrology Referral Patterns of Elderly People With Incident Chronic Kidney Disease Mohamad Al-Abed, Lester Kirchner, Robert Perkins, Ion Dan Bucaloiu; Geisinger Health System, Danville, PA 21 Dialysate Drug Screen. A Novel Approach in the Diagnosis of Drug Induced Vasculitis Hasan Arif, Parmish Kohli, Jesse Goldman; Drexel University College of Medicine, Division of Nephrology 24 Complete Resolution of Non-Uremic Calcific Arteriolopathy With Intravenous Sodium Thiosulfate–A Case Report Venkatesh K. Ariyamuthu, Bethany Corey, Preethi Yerram; University of Missouri, Columbia, MO, USA 36 Serum Vitamin D, Cathelicidin and Chronic Periodontitis in Patients With Chronic Kidney Disease Jessica A. Bastos, Luiz Carlos F. Andrade, Fernando A.B. Colugnati, Ana Paula Ferreira, Erica A. Barroso, Patricia C. Daibert, Patricia L.S. Barreto, Eduardo M. Vilela, Andrea M. Marcaccini, Marcus G. Bastos; Faculties of Medicine and Dentistry, Federal University of Juiz de Fora, Minas Gerais, Brazil 50 Erythropoiesis-Stimulating Agent (ESA) Use Among Medicare Patients Receiving Hemodialysis and Observations About Pruritus T. Christopher Bond, Camelia Graham, Deborah Lubeck; DaVita Clinical Research, Minneapolis, MN, USA 55 Timing of Albumin Testing Affects Corrected Calcium Levels Steven Brunelli1, David Van Wyck2, Mahesh Krishnan1; 1 DaVita Clinical Research, Minneapolis, MN, USA; 2DaVita Inc 56 Hospitalization and Mortality Rates in Small Dialysis Organizations (SDOs) Opting Into the Dialysis Bundle 100% vs 25% Burkart J.M.1, Monda K.L.2, Neumann P.J.3, Rubin R.J.4, Bradbury B.D.2; 1Wake Forest University, Winston Salem, NC, USA; 2Amgen Inc, Thousand Oaks, CA, USA; 3Tufts Medical Center, Boston, MA, USA; 4Georgetown University School of Medicine, Washington DC, USA 58 Assessment of Medication Label Literacy and Numeracy Skills in Hemodialysis Patients Cardone K.E., Parker W.M., Pai A.B., Cavanaugh K.; Albany College of Pharmacy and Health Sciences, Albany, NY, USA 59 Dialysis Staff Attitudes Toward Medication Management Services Provided in a Dialysis Facility Cardone K.E., Cho S., Parker W.; Albany College of Pharmacy and Health Sciences, Albany, NY, USA 62 Electron Beam Versus Gamma Irradiation for Dialyzer Sterilization and Risk of Thrombocytopenia Ramesh Chellamuthu, KC Janga, Anand Rai, Winston Lee, Sheldon Greenberg, Ilya Shneyderman, Miriam Greenberg; Maimonides Medical Center, Brooklyn, NY, USA 67 Mitochondrial DNA Copy Number Through the Evolution of Chronic Kidney Disease Teena Cherian, Vaidyanathapuram Balakrishnan, Madhumathi Rao; Tufts Medical Center, Boston, MA, USA 69 Rare Case of Calciphylaxis and Treatments With Sodium Thiosulphate in ESRD Patient on Hemodialysis Neelima Chilukuri, Farhang Ebrahimi, Esther Iheukwumere; Richmond University Medical Center, Staten Island, NY, USA A6

89 The Use of a Kidney Based Probiotic for Chronic Kidney Disease: Recognition of the Importance of the Gut James Dylewski, Hina Trivedi, Robert Pursell, Richard Snyder; St Lukes University Hospital and Health Network, Bethlehem, PA, USA 96 Effect of Levamisole Supplementation on Tetanus Vaccination Response in Hemodialysis Patients: A Randomized Double-Blind Placebo-Controlled Trial Mohammad Kazem Fallahzadeh1, Neeraj Singh1, Sharareh Sajjadi2, Masomeh Khajeh2, Mohammad Mahdi Sagheb2; 1 LSUHSC-Shreveport, Shreveport, LA, USA; 2Shiraz University of Medical Sciences, Shiraz, Fars, Iran 97 Systolic Blood Pressure Reduction in Hypertensive Patients During a Fluid Management Quality Improvement Project in 4 Dialysis Facilities Linda H. Ficociello1, Len Usvyat1,2, Patrice B. Taylor2, Claudy Mullon1, Paul Balter2, Paul Zabetakis2, Jose DiazBuxo1; 1Fresenius Medical Care, Waltham, MA, USA; 2 Renal Research Institute (RRI), New York, NY, USA 106 AL Amyloidosis Affecting Only the Kidneys: Two Case Reports Esho Georges, Andres Serrano; Mount Sinai Hospital Medical Center, Chicago, IL, USA 111 Analysis of Length of Stay (LOS) and Readmissions Among End-Stage Renal Disease-(ESRD) and NonESRD Patients (PTS) Using a 5% Sample of Inpatient Claims Data From the Centers for Medicare and Medicaid Services (CMS) (2007– 2008) Camelia Graham, Steve Wilson, Steven Brunelli, and T. Christopher Bond; DaVita Clinical Research, Minneapolis, Minnesota, USA 112 Missed Dialysis Sessions and Impact of Pruritus Among Medicare Patients Receiving Hemodialysis at a Large Dialysis Organization Camelia Graham, T. Christopher Bond, and Deborah Lubeck; DaVita Clinical Research, Minneapolis, MN, USA 125 Accuracy of Urine Collection Methods Compared to Measured GFR in Adults With Liver Disease Joanna Q. Hudson1,2, Asif Siddiqui2; 1Departments of Clinical Pharmacy; 2Medicine (Division of Nephrology), The University of Tennessee Health Science Center, Memphis, TN, USA 126 Directly Measured Physical Activity Is Markedly Decreased in Older Adults With Non-Dialysis CKD Hyon Annie, Giffuni Jamie, Katzel Leslie I., Seliger Stephen L.; VA Maryland Healthcare System, Baltimore, MD, USA 128 There Is No Standard Dialysate Bicarbonate in Hemodialysis Patients Anwar Iqbal, Eric Bloom, Rasib Raja; Einstein Medical Center, Philadelphia, PA, USA 130 Dietary Sodium Intake in Hemodialysis Patients Does Not Correlate With Interdialytic Weight Gain Deepika Jain, Beth Piraino, Heena Sheth, Mary Ann Sevick; University of Pittsburgh School of Medicine, Pittsburgh, PA, USA 134 Nephrogenic Systemic Fibrosis–A Unique Presentation: Case Report and Literature Review Deepak Jasuja, Vijay Bhasin and George Coritsidis; Mount Sinai Hospital and School of Medicine, New York, NY, USA 138 Association Between Lack of Health Insurance and Risk of Death and ESRD: Results From the Kidney Early Evaluation Program (KEEP) Am J Kidney Dis. 2013;61(4):A1-A100

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Claudine Jurkovitz1, Suying Li2, Keith C. Norris1, Georges Saab1, Andrew S. Bomback1, Adam T. Whaley-Connell1, Peter A. McCullough1; 1KEEP Steering Committee, National Kidney Foundation, New York, NY, USA; 2Minneapolis Medical Research Foundation, Minneapolis, MN, USA Challenges in Twin Pregnancy in a Patient With ESRD Secondary to Lupus Nephritis Seema Karanjgaokar, Yilikal Kassa, Sadanand Palekar; Newark Beth Israel Medical Center, Newark, New Jersey, USA Pamidronate Use for Hypercalcemia in ESRD Patient With Pagets Disease Madhavi Katikaneni, Jun Sohn, Ashok Chaudhari; Metropolitian Hospital, NY, USA Clostridium Difficile Infection in Outpatient Dialysis in Olmsted County: Assessing Magnitude of the Problem and Root Cause Analysis Mira T. Keddis, Sahil Khanna, James E. McManus, Debra K. Apenhorst, Theresa Elwood, Larry M. Baddour, Amy W. Williams, Qi Qian; Mayo Clinic, Rochester, MN, USA Ace Gene I/D Polymorphism and Mortality in Patients on Maintenance Hemodialysis Lorant Kerkovits1, Csaba Ambrus1, Zoltan Kiss2, Istvan Kiss1 for the B. BraunAvitum Dialysis Network DialGen Working Group; 1St Imre Teaching Hospital and B. BraunAvitum 1st Dialysis Center; 2Aesculap School of Ph.D. Studies; Budapest, Hungary Rapidly Developing Endocarditis and Recurrent Septic Arthritis in a Hemodialysis Patient With Abiotrophia Bacteremia Yasin A. Khan, Adrian Sequeira; Louisiana State University Health Sciences Center, Shreveport, LA Depressive Symptoms & Hospitalization Risk in Incident Hemodialysis Patients Eduardo Lacson, Jr., Nien-Chen Li, Sandie Dean, Franklin W. Maddux; Fresenius Medical Care, North America, Waltham, Massachusetts, USA Characteristics of Rapid Response Team Activation in the End Stage Renal Disease Population in a Tertiary Care Hospital Winston Lee, Robert Krinsky, Ramesh Chellamuthu, Sheldon Greenberg, Yana Shtern, Elie Fein, KC Janga, Miriam Greenberg; Maimonides Medical Center, Brooklyn, NY, USA Effect of Household Food Insecurity on CKD Management and All-Cause Mortality Albert Ma., Anca Tilea, Elizabeth Hedgeman, Brenda Gillespie, Hal Morgenstern, Rajiv Saran; University of MichiganKidney Epidemiology and Cost Center, Ann Arbor, MI USA A Case of West Nile Virus Encephalitis in a Chronic Hemodialytic Patient Rakesh Malhotra1, Margaret Mysliwiec1, Anjali Acharya2, Zaher Hamadeh2; 1University of Medicine and Dentistry of New Jersey; 2Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA Knee Tuberculosis in Hemodialysis Patients: Atypical Clinical Presentation Rakesh Malhotra1, Nneoma Okoronkwo1, Anjali Acharya2, Zaher Hamadeh2; 1University of Medicine and Dentistry of New Jersey; 2Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA Do ESRD Patients Really Want to Know Prognosis? Krishna Manda, David Albert, Michael Germain, Gail Puntin, Janet Hakanson-Stacy, Lewis Cohen; Berkshire

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Medical Center and Baystate Medical Center, Pittsfield/ Springfield, MA, USA Reduction in Cardiac Events at the Chronic Hemo Dialysis Unit After the Implementation of Ultrafiltration Restriction and Other Risk Factors Modification Iqbal Masood, Aqeel A. Siddiqui, Robert L. Benz; Dept. of Nephrology, Lankenau Medical Center, Wynnewood, PA, USA Provider Beliefs About CKD Registries in Safety-Net Primary Care Dannielle McBride1, Daniel Dohan2, Margaret Handley2, Neil Powe2, Delphine Tuot2; 1Johns Hopkins School of Medicine, Baltimore, MD, USA; 2University of California San Francisco, San Francisco, CA, USA Serum Phosphorus and Death or Progression to End-Stage Renal Disease in Persons Screened in the Community for Chronic Kidney Disease Rajnish Mehrotra, Carmen Peralta, Shu-Cheng Chen, Suying Li, Michael Sachs, Anuja Shah, Keith Norris, Georges Saab, Adam Whaley-Connell, Bryan Kestenbaum, Peter A. McCollough on behalf of Kidney Early Evaluation Program (KEEP) Investigators Hemodialysis Patients’ Perception of Their Primary Care Physician: A Multicenter Study Nirav Mehta, Mohini Alexander, Divya Monga, Ashish Kataria, Hitesh Shah, Kenar Jhaveri; Hofstra North ShoreLIJ School of Medicine, Great Neck, NY, USA Frequent Relapse of Clostridium Difficile Infection Associated With End Stage Renal Disease Massini Merzkani, Belinda Jim, Kisra Anis; Jacobi Medical Center, Bronx, NY, USA Differential Practice Pattern Changes in Small Dialysis Organizations (SDOS) Opting Into the Dialysis Bundle 100% vs 25% Monda K.L.1, Burkart JM2, Park GS1, Bradbury BD1, Rubin RJ3; 1Amgen Inc, Thousand Oaks, CA, USA; 2Wake Forest University, Winston Salem, NC, USA; 2Georgetown University School of Medicine, Washington DC, USA Sodium Thiosulfate Success in Calciphylaxis Sravanthi Nandavaram, Aakash Aggarwal, Viren Kaul, Stephen J. Knohl; SUNY Upstate Medical University, Syracuse, NY, USA Medication-Related Error in Outpatient Hemodialysis Center Timothy Nguyen, Brian Radbill; New York, NY, USA Metabolic Alkalosis in ESRD Patients on Hemodialysis: Role of Continuous Quality Improvement (CQI) Process in Detection and Correction Oluyemi Odunusi, Malak El-Rahi, Wadi Suki; The Methodist Hospital, Houston TX, USA Corticosteroid Responsive Hypocomplementemic Idiopathic Tubulointerstitial Nephritis Armeen Oonwala, Marcelo Barrios-Gini, Anip Bansal; St Luke’s Roosevelt Hospital Center, New York, NY, USA Excellent Vaccination Rates in an Inner City Hospital Based Hemodialysis Unit Swati Pathak, Aleksandra Mamorska-Dyga, Isaiarasi Gnanasekaran; Lincoln Medical and Mental Health Center, Bronx, NY, USA Pregnancy Outcomes in Advanced Chronic Kidney Disease Silvia Feng, Charles Minard, Rajeev Raghavan; Baylor College of Medicine, Houston, Texas, USA Impact of Witnessed Events and Patient Attrition in the Hemodialysis Center: A Pilot Qualitative Study A7

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Sarah Ramer1, Mark Unruh2, Anne Germain3; 1UMDNJNew Jersey Medical School, Newark, NJ, USA; 2University of New Mexico School of Medicine, Albuquerque, New Mexico, USA; 3University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Prevalence of Case-Mix Adjusters Among Small Dialysis Organizations (SDOs) Rubin R.J.1, Burkart J.M.2, Yue S.3, Gitlin M.3, Neumann P.J.4; 1Georgetown University School of Medicine, Washington DC, USA; 2Wake Forest University, Winston Salem, NC, USA; 3Amgen Inc, Thousand Oaks, CA, USA; 4Tufts Medical Center, Boston, MA, USA Proximity But Not Access: Racial Disparities in Access to High Quality Dialysis Facilities Milda R. Saunders, Haena Lee, Chieko Maene, Todd J. Schuble, Kathleen A. Cagney; University of Chicago, Chicago, IL, USA Blood Volume Monitoring (BVM) Prevents Intradialytic Hypotension Anita Saxena, Raj Sharma, Amit Gupta; SGPGIMS, Lucknow, Uttar Pradesh, India Prevalence of Complementary and Alternative Medicine in Patients With Chronic Kidney Disease in India Silvi Shah1, N.P. Singh2, Waqas Qureshi3; 1University at Buffalo, NY; 3Henry Ford Hospital, Detroit, Michigan; 2 Maulana Azad Medical College, New Delhi, India Correlates of and Variation in Heparin Dosage for Maintenance Hemodialysis in Older U.S. Patients Jenny Shen, Maria Montez-Rath, Aya Mitani, Wolfgang Winkelmayer; Stanford University School of Medicine, Palo Alto, CA, USA Physician’s Dilemma in Treatment of Hepatitis-C Induced Cryoglobulinemia and Rapidly Progressive Kidney Disease Reddy Singasani1, Unnikrishnan Pillai2, Syed M. Raza2, Marrouf Azar2, Noreen F. Rossi2; 1St. Mary Mercy Hospital, Livonia, MI, USA; 2Wayne State University/DMC, Detroit, MI, USA Elizabethkinga Meningoseptica Infection in a Hemodialysis Patient Jasjit Singh, Aaron Stern; Elmhurt Hospital Center-New York, NY, USA Retrospective Analysis of a Dialysis Population With Prevalent Psychiatric Conditions Fuad Spath, Belinda Jim, Kisra Anis; Jacobi Medical Center/ Albert Einstein College of Medicine, Bronx, New York, USA Treatment of Periodontal Disease and Changes in Inflammatory Markers in ESRD Pts David Spiegel1, Michelle Parker2, Connie Paeglow2, Kimberly Carlton2, Kathryn Rafferty1, Larry Coffee3; 1University of Colorado, Denver, CO, USA; 2Fresenius Medical Care, Denver, CO, USA; 3Dental Lifeline Network, Denver, CO, USA Chronic Kidney Disease Group Medical Visits in the Primary Care Setting Archana Sridhar, Elizabeth Davis, Rebecca Siegel, Christine Greene, Theresa Cahill, Beverly Bagdorf, Anitha Toke, Claire Horton, Delphine Tuot; San Francisco General Hospital and University of California, San Francisco, CA, USA Improving Measurement of Patient Awareness of Chronic Kidney Disease Stewart, Elizabeth, Tuot, Delphine, Hsu, Chi-yuan, Powe, Neil; University of California, San Francisco, San Francisco, California, USA

319 Alkaline Water–An Alternative to Oral Bicarbonate Supplementation in CKD? Hina Trivedi, James F. Dylewski, Robert Pursell, Richard Snyder; St. Luke’s University Hospital and Health Network, Bethlehem, PA, USA 321 Content Analysis and Literacy Level of Written Educational Materials for Patients With CKD Delphine Tuot, Elizabeth Davis, Alexandra Velasquez, Tanushree Banerjee, Neil Powe; San Francisco General Hospital and University of California San Francisco, San Francisco, CA, USA 336 Recent Trends in Laboratory Values in Small Dialysis Organizations (SDOs) by Race: The Stepps Study Yue S.1, Symonian-Silver M.2, Park G.S.1, Neumann P.J.3; 1 Amgen, Inc, Thousand Oaks, CA, USA; 2Private Practice, Los Angeles, CA, USA; 3Tufts Medical Center, Boston, MA, USA

DIABETIC NEPHROPATHY 15 Synergistic Relationship Between eGFR and Microalbuminuria in Predicting Long-term Progression to ESRD or Death in Patients With Diabetes: Results from KEEP Amit P. Amin, Adam T. Whaley-Connell, Suying Li, ShuCheng Chen, Peter A. McCullough, Mikhail N. Kosiborod on behalf of the Kidney Early Evaluation Program Investigators 63 Guideline Concordance of Treatments and Its Association With Glycemic Control in Medicare-Aged Type 2 Diabetes Mellitus Patients With Chronic Kidney Disease Shih-Yin Chen1, Yuan-Chi Lee1, Veronica Alas1, Mallik Angalakuditi2; 1United BioSource Corporation, Lexington, MA, USA; 2Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA 64 Prevalence of Chronic Kidney Disease and Level of Glycemic Control in US Adults With Type 2 Diabetes Mellitus Shih-Yin Chen1, Chien-Chia Chuang1, You Wu1, Nicole Quon2; 1United BioSource Corporation, Lexington, MA, USA; 2Boehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT, USA 65 Prevalence of Undiagnosed Chronic Kidney Disease in Patients With Type 2 Diabetes Mellitus Shih-Yin Chen1, Yuan-Chi Lee1, Veronica Alas1, Mallik Angalakuditi2, Diana Brixner3; 1United BioSource Corporation, Lexington, MA, USA; 2Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA; 3University of Utah College of Pharmacy, Salt Lake City, UT, USA 66 Treatment Concordance With Prescribing Information Among Elderly Type 2 Diabetes Mellitus Patients With Chronic Kidney Disease Shih-Yin Chen1, Yuan-Chi Lee1, Veronica Alas1, Mallik Angalakuditi2; 1United BioSource Corporation, Lexington, MA, USA; 2Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA 246 Urinary Marinobufagenin Excretion Differentiates Between Diabetic Patients at Low or at High Risk for the Development of Worsening Nephropathy Catherine E. Powell1, German T. Hernandez1, Sean M. Connery1, Cindy J. Balog-Alvarez2, Daad Abi-Ghanem2, Luc Berghman2, Jules B. Puschett2, Ramin Tolouian1; 1Texas Tech University Health Sciences Center, El Paso, TX; 2Texas A&M University, College Station, TX Am J Kidney Dis. 2013;61(4):A1-A100

NKF 2013 Spring Clinical Meetings Abstracts

ELECTROLYTE AND ACID-BASE ABNORMALITIES 2 IVIG Induced Hyponatremia in Patients With Impaired Renal Function M. Qadir, K. Dhevasena, A. Storer, S. Ram, K. Abreo, Z. Abro; Staten Island University Hospital, Staten Island, New York, USA 6 Isolated Renal Resistance to PTH–A Rare Cause of Hypocalcemia Aakash Aggarwal, Bikram Sharma, Meghan Rane, Emerald Banas, Arman Khorasani; SUNY Upstate, Syracuse, NY, USA 12 Unmasking Pre-Existant Central Diabetes Insipidus (CDI) in a Patient With Neurosarcoidosis After Gastric Bypass Surgery: a Rare Presentation Sally Alassil, Tamim Naber, Wael Kouli; Department of Medicine and Bariatric Surgery; Atlantic Care Regional Hospital, NJ, USA 29 Quetiapine Associated SIADH: What a Misunderstanding! Omid Bakhtar, Mahmoud Kamel, Shadi Nijim, Machaiah Madhrira; Division of Nephrology, University of Arizona, Tucson, Arizona, USA 41 Persistent Hypokalemia: A Puzzling Case Involving Intestinal Obstruction Shamik Bhadra, Neil Doshi, Arsalan Ahmed, Ziauddin Ahmed; Drexel University College of Medicine, Philadelphia, PA, USA 79 Mind the Gap: Anion Gap, Osmolar Gap and Lactate Gap in Unresponsive Patient Paras Dedhia, Tasneem Shah, Matthew Novak; Department of Internal Medicine, Guthrie/Robert Packer Hospital, Sayre, PA, USA 88 TMK/GFR as a Measure of Renal Potassium Handling Manuel Dominguez, S. Susan Hedayati, Chou-Long Huang; University of Texas Southwestern Medical Center, Dallas, TX; and Veterans Affairs North Texas Care System, Dallas, TX, USA 90 Effects of Proton Pump Inhibitors and Electrolytes Disturbances on Arrhythmias Elie El-Charabaty, Chadi Saifan, Mokhtar Abdallah, Ali Naboush, Daniel Glass, Georges Azzi, Yorg Azzi, Ahsan Khan, Hassan Baydoun, Chetana Rondla, Ninad Parekh, Suzanne El-Sayegh; Staten Island University Hospital, Staten Island, NY, USA 95 Hyponatremia Management: Is It Still an Enigma? Chelsea Estrada, Adebayo Adewale, Michael Petry, Mekdess Abebe, Nand K. Wadhwa; Division of Nephrology, SUNY, Stony Brook, New York, USA 114 Severe Hypokalemia and Distal RTA as the First Presentation of Sjogren’s Syndrome Adam Green, Ezra Israel, Kenar D. Jhaveri & Alessandro Bellucci; Internal Medicine & Nephrology, Hofstra North Shore-LIJ School of Medicine, Great Neck, NY, USA 124 Hypermagnesemia Induced Hypocalcemia and Hyperkalemia Tamer Hudali, Chandandeep Takkar; University of Texas Medical Branch, Galveston, TX, USA 155 A Case of Extremely Treatment Resistant Hyponatremia Associated With Ascites Talal Khan, Karthik Ranganna, Muhammad Syed, Gregory Malat, Stephen Guy, Alden Doyle; Drexel University College of Medicine, Division of Nephrology 166 Psuedo Hyperphosphatemia in Multiple Myeloma Anshul Kumar, Pradeep Dhakarwal, Vibha Agrawal, Tayyab Ali; Nephrology Division, Lehigh Valley Hospital/USF, Allentown, PA, USA Am J Kidney Dis. 2013;61(4):A1-A100

174 Tenofovir-Induced Mixed (Type 3) Renal Tubular Acidosis Rapeepat Lekkham, Eric Bloom, Rasib Raja; Albert Einstein Medical Center, Philadelphia, PA, USA 175 Hyponatremia and Hypopituitarism Secondary to Ipilimumab Deanne Leonard, Uday Desai; Florida Hospital Internal Medicine Residency, Orlando, Florida, USA 215 A Very Low or Negative Anion Gap With Hyperbicarbonatemia Surekha Neeli, Rasib Raja, Eric Bloom; Albert Einstein Medical Center, Philadelphia, PA, USA 216 Pseudohyponatremia in a Hemodialysis Patient Surekha Neeli, Imara Dissanayake, Eric Bloom, Rasib Raja; Albert Einstein Medical Center, Philadelphia, PA, USA 223 Pseudohyperkalemia in a Patient With Chronic Lymphocytic Leukemic Emmanuel Nwadike, Juan Carlos Q. Velez; Medical University of South Carolina, Charleston, SC, USA 239 Severe Hyponatremia in Twin Pregnancy and Pre-eclampsia A Case Report M. Patel-Chamberlin, C. Thakar, Mahmoud El-Khatib; University of Cincinnati, Cincinnati, OH, USA 264 Avoiding Unnecessary Treatments and Hospitalizations for Multifactorial Hyperkalemia in Elderly Patients Syed Mohsin Raza, Harkanwal Dhillon; Yahya Osman Malik Detroit Medical Center and Wayne State University, Detroit, MI, USA 265 Hypomagnesemia in a Patient on Chemotherapy. Kidney Is Not Always a Culprit Syed Mohsin Raza, Zeenat Bhat; Detroit Medical Center and Wayne State University, Detroit, MI, USA 274 Acetazolamide-Induced Diabetes Insipidus: An Idiosyncratic Complication Chadi Saifan, Ninad Parekh, Chetana Rondla, Ali Naboush, Ahsan Khan, Georges Azzi, Yorg Azzi, Elie El-Charabaty, Suzanne El-Sayegh; Nephrology, Staten Island University Hospital, NY, USA 275 Rare Symptomatic Distal Renal Tubular Acidosis in Alcoholic Liver Disease Sandhya Samavedam; The Wright Center for Graduate Medical Education, Scranton, Pennsylvania, USA 279 Adverse Outcome Following Treatment of Severe Metabolic Alkalosis With Conventional Hemodialysis Jolina Santos, Belinda Jim and Zaher Hamadeh; Jacobi Medical Center, Albert Einstein College of Medicine, NY, USA 287 Give Way to ‘K’: Hypokalemic Periodic Paralysis (HPP) Revisited Mamta Shah, Dhwanil Vyas; University of Connecticut, Farmington, CT, USA 291 Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) Induced With Amiodarone Silvi Shah, Jyotsna Bhatnagar; University at Buffalo, Buffalo, NY, USA 292 Tenofovir Induced Classical Fanconi Syndrome Presenting as Severe Metabolic Acidosis Silvi Shah, Jyotsna Bhatnagar; University at Buffalo, Buffalo, NY, USA 297 Lowest Potassium Ever Survived, A Case Report Adeel Siddiqui, Paul Robbins; Lankenau Medical Center, Wynnewood, PA, USA A9

NKF 2013 Spring Clinical Meetings Abstracts 304 Hypocalcemic Hypercalciuria? A Conundrum Lonika Sood, Paul Bernstein; Rochester General Hospital, Rochester, New York, USA 305 Severe Metabolic Acidosis With a Neobladder-How Many Chances Do You Get? Lonika Sood, Jonathan Bress; Rochester General Hospital, Rochester, New York, USA 318 Pre-eclampsia Associated With Severe Hyponatremia Sampath Thiruveedi, Robert L. Benz; Lankenau Medical Centre, Wynnewood, PA, USA

GLOMERULAR DISEASES 9 Dense Deposit Disease in Association With Neisseria meningitidis Mohamad Al-Abed, Mohamad Alhajhusain, Guillermo Carnero, William DiFilippo; Geisinger Health System, Danville, PA, USA 23 Repository ACTH. A Novel Therapy in Treatment of Resistant Nephrotic Syndrome Hasan Arif, Monalisa Joseph, Ellie Kelepouris; Drexel University College of Medicine, Philadelphia, PA, USA 28 MPGN in Patient With WG Verma N., Aswad A.; Penn State University Hershey Medical Center, Hershey, PA, USA 35 Prompt Reversal of Nephrotic Syndrome Associated Dialysis Dependant Acute Kidney Injury After Delayed Therapy With Corticosteroids Claude Bassil, Rayane Nassar, Jorge Lamarche, Alfredo Peguero, Craig Courville; Tampa VA Hospital, Tampa, FL USA 38 ACTH Treatment in Patients With Lupus Nephritis Anna-Lena Berg, Sten Erik Bäck; Lund University, Sweden 39 Plasma Cortisol Levels After Natural ACTH 1-39 and Syntetic ACTH 1-24 in Humans Anna-Lena Berg; Lund University, Sweden 40 Steroid Replaced With ACTH Treatment in FSGS Patients Anna-Lena Berg, Julia Dolinina, Sten Erik Bäck; Lund University, Sweden 46 Cryoglobulin Associated Glomerulonephritis Without Cryoglobulinemia: Successful Outcome After Plasma Exchange and Chemotherapy Gauri Bhutani, Mira Keddis, Edward Casey, Ziad ElZoghby, LaTonya Hickson, John Lieske, Nelson Leung; Department of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA 73 Lupus Podocytopathy Case Series Jason Cobb, Jose Navarrete, Joy Wortham; Renal Division, Emory University School of Medicine, Atlanta, GA, USA 81 Varicocle in Nephrotic Syndrome: Think of Renal Vein Thrombosis! Paras Dedhia, Reshma Ramakrishna, Matthew Novak; Department of Internal Medicine, Guthrie/Robert Packer Hospital, Sayre, PA, USA 84 A Rare Form of Lupus Nephritis Sreedhar Devathi, Jennifer Baccon, Navin Verma; Penn State Hershey Medical Center, Hershey, PA, USA 86 Renal Recovery in a Child With D⫹ HUS. Is Eculizumab a Typical Drug? Vibhu Dhawan, Venkatesh Ariyamuthu, Kunal Malhotra, Prasad Bichu; Department of Internal Medicine, Nephrology Division, University of Missouri-Columbia, Columbia, MO, USA A10

103 Experience With Acthar® Gel for Treatment of Nephrotic Range Proteinuria of Different Etiologies. A Case Series Kumar Gaurav, Manish Gera; Internal Medicine Nephrology Inc., Terre Haute, IN, USA 105 Spontaneous Intramuscular Bleeding and Nephrotic Syndrome: A Novel Presentation of AL Amyloidosis-A Case Report Wihib Gebregeorgis, Unnikrishnan Pillai, Hirva Mamdani, Jay Yang and Noreen F. Rossi; Wayne State University S.O.M., Detroit, MI 115 Ibuprofen Induced Granulomatous Interstitial Nephritis Nupur Gupta, Jean Holley; University of Illinois, Urbana, IL, USA 122 Recurrence of Proliferative Glomerulonephrits With Monoclonal IGA Deposits and Association With Multiple Myeloma Sandra M.S. Herrmann, Mary E. Fidler, Fernando C. Fervenza; Mayo Clinic, Rochester, MN, USA 142 A Case of Non Viral Cryoglobulinemia Successfully Treated With Rituximab Mahmoud Kamel, Omid Bakhtar, Mario Rubin, Madhrira Machaiah; University of Arizona, Tucson, AZ, USA 144 Gross Hematuria: An Unusual Case of IgM Nephropathy Ameet Karambelkar, Sheldon Bastacky, Kelly Liang; University of Pittsburgh, Pittsburgh, PA, USA 146 Hydralazine (HY) Induced Antineutrophile Cytoplasmic (ANCA) and Antinuclear (ANA) Positive Pulmonary-Renal Syndrome (PRS) Yilikal Kassa, Ravali Tarigopula, Jill Ritter, Kristen Fless, Robert Zenenberg; Saint Barnabas Medical Center, Livingston, New Jersey, USA 151 The Role of Early Fetal Delivery for Management of Severe Lupus Nephritis in Pregnancy Mira T. Keddis, Wendy M. White, Vesna D. Garovic; Mayo Clinic, Rochester, MN, USA 173 Membranous Lupus Nephritis With ANCA-Associated Crescentic Glomerulonephritis in Non-specific Interstitial Pneumonia Rapeepat Lekkham, Eric Bloom, Rasib Raja; Albert Einstein Medical Center, Philadelphia, PA, USA 181 Antineutrophil Cytoplasmic (ANCA)-Associated Necrotizing and Crescentic Glomerulonephritis (GN) as Initial Presentation of Lupus Nephritis (LN) Pablo Loarte1, Shyan-Yih Chou1, Nayle Araguez2, Ronny Cohen2; 1Nephrology, Brookdale University Hospital and Medical Center. Brooklyn, NY, USA; 2Woodhull Medical Center. Brooklyn, NY, USA 212 Fibrillary Glomerulonephritis Associated With Limited Scleroderma: A Case Report Georges Nakhoul, James Simon; Cleveland Clinic Foundation, Cleveland, Ohio, USA 227 Wunderlich Syndrome: A Case Report and Literature Review Anju Oommen, William McClellan, Michael Connor, Titilayo Ilori; Emory University School of Medicine, Atlanta, Georgia, USA 230 IgG4-Related Disease With Atypical Kidney Biopsy Findings–A Case Report Oluwaseun Opelami, Neha Garg, Brian Stephany; Cleveland Clinic Foundation, Cleveland, Ohio, USA 233 RPGN Type IV: A Rare Diagnosis With a Challenging Treatment Am J Kidney Dis. 2013;61(4):A1-A100

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Ninad Parekh, Chadi Saifan, Chetana Rondla, Ron Chay; Department of Medicine, Staten Island University Hospital, NY, USA Polycythemia–A Rare Cause of Focal Segmental Glomerulosclerosis Srujana Polsani, Jolina Santos, Fuad Spath, Naheed Ansari; Jacobi Medical Center, Albert Einstein College of Medicine, NY, USA Correlation Between Urinary and Kidney Biopsy Findings in Pediatric Systemic Lupus Erythematosus (SLE) Patients Atul Poudel, Eduardo H. Garin; University of Florida, College of Medicine, Gainesville, Florida, USA Focal Segmental Glomerulosclerosis as a Paraneoplastic Manifestation of Chronic Myeloid Leukemia-A Case Report Nishigandha Pradhan1,3, Wihib Gebregeorgis1,3, Marrouf Azar1,3, Noreen F. Rossi2,3; 1Detroit Medical Center; 2John D. Dingell VAMC; 3Wayne State University, Detroit, Michigan, USA Two Year Prospective Observation of Outcome of Once a Month Rituximab Induction Therapy in Idiopathic High Risk Membranous Nephropathy Patients Ebadur Rahman, Altaf Khan, D. Mousa; Prince Sultan Military Medical City, Riyadh, Saudi Arabia ANCA Associated Glomerulonephritis and Lupus Cerebritis in a Patient With the Features of Mixed Connective Tissue Disease Syed Mohsin Raza, Sophia Arunselvan, Yahya Osman Malik; Detroit Medical Center and Wayne State University, Detroit, MI, USA Proliferative Glomerulonephritis With Monoclonal IgG Deposits and Rituximab Therapy Chetana Rondla, Chadi Saifan, Ninad Parekh, Militza Kiroycheva, Matthew Palombini; Staten Island University Hospital, NY, USA Quadruple Nephropathy in a Liver Transplant Patient Dominic Rossini, Youngki Kim, Marc Weber; University of Minnesota. Minneapolis, MN, USA De Novo Fibrillary Glomerulonephritis in a Renal Allograft of a Patient With Hepatitis C Jolina Santos, Srujana Polsani, Belinda Jim and Naheed Ansari; Jacobi Medical Center, Albert Einstein College of Medicine, NY, USA Concurrent Development of Focal Segmental Necrotizing and Crescentic Glomerulonephritis Associated With CANCA and IgA Nephropathy After Infectious Endocarditis in an Elderly Male Vickram Tejwani, Qi Qian; Mayo Clinic, Rochester, MN, USA Heavy Chain Renal Amyloidosis–Diagnostic Role of Mass Spectrometry Jiwan Thapa, Andres Chiesa-Vottero, Frederic Reu, Joseph Nally; Cleveland Clinic, Cleveland, Ohio, USA Membranoproliferative Glomerulonephritis Secondary to Autoimmune Diseases Ladan Zand, Fernando C. Fervenza, Samih H. Nasr; Sanjeev Sethi Mayo Clinic, Rochester, MN, USA

HEREDITARY KIDNEY DISEASE/PKD 148 Salt-Losing Hypertension? Viren Kaul, Sravanthi Nandavaram, Syed Haider Imam, Stephen J. Knohl; SUNY Upstate Medical University, Syracuse, NY, USA Am J Kidney Dis. 2013;61(4):A1-A100

160 Economic Burden of Autosomal Dominant Polycystic Kidney Disease in the United States Tyler Knight1, Caroline Schaefer1, Holly Krasa2, Dorothee Oberdhan2, Arlene Chapman3, Ron Perrone4; 1Covance Inc, Gaithersburg, MD, USA; 2Otsuka Pharmaceuticals, Rockville, MD, USA; 3Emory University, Atlanta, GA, USA; 4 Tufts Medical Center, Boston, MA, USA 221 A Rare Case of Tuberous Sclerosis Complex and Cystic Kidneys That Progressed to End Stage Renal Disease Kana Noshiro, Kobena Dadzie; James Winchester. Beth Israel Medical Center, New York, NY, USA 266 Large Deletion of mtDNA Presenting as Fanconi Syndrome Saleem Raza1, Mohammad Saberi1, Jon Wilson2, Jack Ji3, Ellen Brundage3, Eric Schmitt3, Lee-Jun Wong3; 1Department of Pediatrics, Saint John Hospital and Medical Center, Detroit, MI, USA; 2Department of Pathology, William Beaumont Hospital, Royal Oak, MI, USA; 3Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA 284 Overt Polycythemia in a Patient With Autosomal Dominant Polycystic Kidney Disease: A New and Potentially Serious Complication Nakshatra Saxena, Dana V. Rizk; University of Alabama at Birmingham, Birmingham, AL, USA

HOME DIALYSIS-HOME HEMODIALYSIS/PERITONEAL DIALYSIS 30 Free P-Cresol Sulfate (PCS) Is Associated With Infectious Hospitalizations in Hemodialysis Tanushree Banerjee1, Tim Meyer2, Tariq Shafi3, Michal Melamed4, Tom Hostetter5, Neil Powe1; 1University of California, San Francisco, CA; 2Stanford University, Stanford, CA; 3Johns Hopkins University, Baltimore, MA; 4 Albert Einstein College of Medicine, Bronx NY; 5Case Western Reserve University, Cleveland, OH, USA 104 Ascites as a Late Complication of Fungal Peritonitis in a Peritoneal Dialysis (PD) Patient: A Case Report Wihib Gebregeorgis, Nishigandha Pradhan, Stephen Migdal; Wayne State University S.O.M., Detroit Medical Center, Detroit, MI, USA 117 Peritonitis Over Two Decades in a Single Center Pramod Guru, Heena Sheth, Filitsa Bender, Beth Piraino; University of Pittsburgh School of Medicine, Pittsburgh, PA, USA 132 Safety and Efficacy of Peritoneal Dialysis in Elderly–A Single Center Experience Koyal Jain1, Pankaj Jawa2, Mary Brennan1, Niranjan Sankaranarayanan1; 1St. Francis Hospital and Medical Center, Hartford, CT, USA; 2Einstein Medical Center, Philadelphia, PA, USA 157 Peritoneal Dialysis Associated Achromobacter xylosoxidans Peritonitis-A Rare but Virulent Organism Seyyar A. Khan, Ashish Kataria, Elvedin Lukovic, Mala Sachdeva; Hofstra North Shore-LIJ School of Medicine, Great Neck, New York, USA 180 Persistent Idiopathic Ascites in an Anephric Home Hemodialysis Patient Promptly Resolves After Kidney Transplantation Panupong Lisawat, Alan Segal; University of Vermont, Burlington, VT, USA 210 Innovative Approach for Dialysis in the Down’s Syndrome Patient A11

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Renu Muttana, Robert Krinsky, Sheldon Greenberg, K.C. Janga; Maimonides Medical Center, Brooklyn, NY, USA Is Heterogeneity of the Data the Cause for No Universal Anti-fungal Prophylaxis Guidelines in Peritoneal Dialysis Patients? Shaifali Sandal, Sandesh Parajuli, Scott Liebman; University of Rochester Medical Center, Rochester, New York, USA Histoplasma Peritonitis-A Rare Entity Asjad Sardar, Paramveer Saluja, Sailaja Adari, Adeel Ahmad, Pradeep Kadambi; University of Texas Medical Branch, Galveston, Texas, USA Incidence of “Hospital Acquired Peritonitis” in Continuous Ambulatory Peritoneal Dialysis (CAPD) Patients in Saint Francis Hospital, Hartford, CT Mamta Shah, Ari Geller, William Carney; Saint Francis Hospital, Hartford, CT, USA Fluoroscopic Peritoneal Dialysis Catheter Placement: An Outpatient Procedure Sidhu, I.S., Sharma, M.K., Abreo, K., Sachdeva, B.; LSU Medical Center, Shreveport, LA, USA Novel Description of Neisseria animaloris Peritonitis in a Peritoneal Dialysis Patient Prathap Simhadri, Sarina Ahuja, Beth Pellegrino; West Virginia University, Morgantown, WV, USA Clinical Outcomes of Uncommon Bacterial Peritonitis in Peritoneal Dialysis Patients Omkar Vaidya, Ramesh Saxena; UT Southwestern, Dallas, Texas, USA Factors Associated With Transfer to Hemodialysis, Transplantation and Death on Peritoneal Dialysis A. Elizabeth Wyman, Heena Sheth, Beth Piraino; University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

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HYPERTENSION 22 Refractory Resistant Hypertension Hasan Arif, Muhammad R. Syed, Jesse Goldman; Drexel University College of Medicine, Division of Nephrology, Philadelphia, PA, USA 26 Blood Pressure Measurements During Hemodialysis Access Interventions: Implications For Acute Management Hector Castro1, Amin Waheed1, Vishesh Kumar2, Beri Okuezue2, Shamim Haqqie2, Donna Merrill2, Gary Siskin2, Arif Asif2, Loay Salman1; 1Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA; 2Division of Nephrology and Hypertension and Interventional Radiology; Albany Medical College, Albany, NY, USA 27 Should Psychiatry Be a Member of Hypertension Management Team? Radmila Lyubarova1, William Alderisio1, Beri Okuezue2, Vishesh Kumar, Shamim Haqqie1, Robin Tassinari3, Edward Philbin1, Donna Merrill2, Arif Asif2; 1Division of Cardiology, 2Division of Nephrology and Hypertension, 3Department of Psychiatry, Albany Medical College, Albany, NY, USA 82 Monitored Fluid Removal in Hypertensive Pregnant Female on Dialysis Avoided Early Termination of Pregnancy Hiral Desai, Akshata Rao, Ziauddin Ahmed; Drexel University College of Medicine, Philadelphia, PA, USA

NUTRITION 31 High Dietary Acid Load and Progression to ESRD Among Chronic Kidney Disease (CKD) Patients A12

Tanushree Banerjee1, Deidra Crews2, Donald Wesson3, Elizabeth Hedgeman4, Rajiv Saran4, Nilka Burrows5, Desmond Williams5, Neil Powe1; 1University of California at San Francisco, San Francisco, CA, USA; 2Johns Hopkins University, Baltimore, MD, USA; 3Texas A&M College of Medicine, College Station, TX, USA; 4University of Michigan, Ann Arbor, MI, USA; 5CDC, Atlanta, GA, USA Feasibility of Use of a Handheld Image Capture Device to Assess Dietary Intake in Patients With End Stage Renal Disease on Hemodialysis Peomia Chela Brown, Jennifer Craig, Amy Walquist, Rachel L. Sturdivant; Medical University of South Carolina, Department of Nephrology, Dialysis Clinics Incorporated, Charleston, SC, USA Vitamin D and Lithium: The Excess of a Virtue Is a Vice Vibhu Dhawan1, Sameer Bellapravalu2, Kunal Malhotra1, Ravi Nistala1; 1Department of Internal Medicine, 2Department of Psychiatry, University of Missouri-Columbia, Columbia, MO, USA Higher Prevalence of Low Phosphorus Level Among the Elderly Dialysis Patients Paungpaga Lertdumrongluk, Miklos Z. Molnar, Wei Ling Lau, Joshua Zaritsky, John J. Sim, Jongha Park, Csaba Kovesdy and Kamyar Kalantar-Zadeh; Harold Simmons Center, UC Irvine Medical Center, Orange, CA Changes in Body Composition Parameters Over Time in Hemodialysis (HD) Patients (PTS) Neal Mittman, Brinda Desiraju, Jackson Shaji, Sara Asadi, Roxanna Rodriguez, Jyotiprakas Chattopadhyay, Morrell M. Avram; Avram Division of Nephrology, S.U.N.Y. Downstate Medical Center UHB at Long Island College Hospital, Brooklyn, New York, USA Association of Platelet Count With Body Composition in Long-term Hemodialysis Patients Akos Ujszaszi, Elani Streja, Jongha Park, Csaba Kovesdy, Miklos Z. Molnar, and Kamayar Kalantar-Zadeh; Harold Simmons Center, UC Irvine Medical Center, Orange, CA, USA

TRANSPLANTATION 4 Does Immunosuppression Adjustment Affect Survival in Patients With Prostate Cancer Post Kidney Transplant? Vivek Agarwal, Thet Zaw, Sadanand Palekar; Dept of Renal Transplant, Newark Beth Israel Med Ctr, Newark, NJ, USA 7 Racial Disparities in Adherence to Immunosuppression in Pediatric and Adolescent Kidney Transplant Recipients in the Bronx Oleh Akchurin, Rebecca Hashim, Erin Lauinger, Frederick Kaskel, Marcela Del Rio; Montefiore Medical Center, Bronx, NY, USA 14 Diagnosis of Renal Cell Carcimona in Renal Allografts Using Epinephrine-Enhanced Renal Angiography Alhajhusain Mohamad, Kotru Anil, Al-Abed Mohamad, Nadal Louis, Schultz Michael; Geisinger Medical Center Danville, PA, USA 18 Hydoxychorolquine as an Antimetabolite for Select Renal Transplant Recipients: Efficacy and Safety S. Anwar, S.A. Khalid, M.A. Ashraf, S. Rizvi, T.A. Horwedel, D.C. Brennan; Renal Division, Washington University in St Louis, MO, USA 19 Drop in Allograft Function (AF) Associates With Drop in Bone Mineral Density (BMD) Z Score in Pediatric Renal Transplant Recipients (PTxR) Am J Kidney Dis. 2013;61(4):A1-A100

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Anyaegbu Elizabeth, Zheng Jie, Dharnidharka Vikas; Washington University in St Louis School of Medicine, St Louis, MO, USA Differences in Access to Kidney Transplantation Between Hispanic and Non-Hispanic Whites in the United States Cristina M. Arce1, Benjamin A. Goldstein2, Aya A. Mitani2, Wolfgang C. Winkelmayer1; 1Division of Nephrology; 2Division of General Medical Disciplines, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, USA Ambulatory BP Monitoring Is a Valuable Tool to Assess Risk in Potential Living Kidney Donors Satyam Arora, Nika Safaie, Nauman Shahid, Alden Doyle, Ami Patel; Drexel University College of Medicine, Philadelphia, PA, USA Strongyloides Stercoralis Hyperinfection in a Post-Renal Transplant Patient Ramandeep Banga, Emmanuel Nwadike, Vaqar Ahmed, Karen Garn, Maria Nieva Salazar; Medical University of South Carolina, Charleston, SC, USA Does Cold Ischemia Time Affect Outcomes in Living Donor Kidney Transplants: Single Center Experience Arpit Bhargava, Swati Arora, Richard J. Marcus, Kalathil K. Sureshkumar; Nephrology and Hypertension, Allegheny General Hospital, Pittsburgh, PA, USA Successful Desensitization in Live Donor Kidney Transplantation Kelly Blakely, Robert Steiner, Ajai Khanna; University of California San Diego, CA, USA Increased BK Viremia and Progression to BK-Virus Nephropathy Following High-Dose IVIG for Acute Cellular Rejection Maytee Boonyapredee1, Dustin Little2; 1MedStar Washington Hospital Center, Washington, D.C.; 2Walter Reed National Military Medical Center, Bethesda, MD, USA Achieving KDIGO Target for Blood Pressure Is a Key Modifiable Risk Factor for Maintaining Long-term Stability of Graft Function in Renal Transplant Recipients (RTR) J. Brar1, G. Gudleski2, A. Desai2, R. Venuto1, O. Pankewycz1, S. Patel1, M. Laftavi1, M. Zachariah1; 1Nephrology and Renal Transplantation, SUNY at Buffalo, Buffalo, New York, USA; 2Department of Medicine, SUNY at Buffalo, Buffalo, New York, USA Cancer Risk Perception and Sun Protective Behaviors in Kidney Transplant Recipients Tepsiri Chongkrairatanakul, Vasudev Brahm; Medical College of Wisconsin (MCW), Milwaukee, WI, USA Rare Viral Co-infection in a Renal Transplant Recipient Elizabeth Chua, Aileen Cielo, Vaqar Ahmed, Bridgette Pidel, Maria Posadas, Beje Thomas, Martin Bunke; Medical University of South Carolina, Charleston, SC, USA Short Versus Extended Term Valganciclovir Prophylaxis for Cytomegalovirus Infection in Pediatric Kidney Transplant Faris Hashim, Vikas Dharnidharka; UF/Shands, Gainesville, Fl, USA Ureteral Stent Placement Increases the Risk for Developing BK Viruria and Viremia After Kidney Transplantation Faris Hashim1, Shehzad Rehman1, Vikas Dharnidharka2; 1 University of Florida, Gainesville FL, USA; 2Washington University School of Medicine, St. Louis, MO, USA Impact of Recipient Factors on Kidney Transplantation Outcomes in the Elderly Parta Hatamizadeh, Miklos Z. Molnar, Elani Streja, Paungpaga Lertdumrongluk, Csaba Kovesdy, Kamyar Kalantar-

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Zadeh; Harold Simmons Center, UC Irvine Medical Center, Orange, CA The Utility of Serial Allograft Biopsies (AGBX) During Delayed Graft Function (DGF) in Renal Transplantation H. Hatoum, A. Patel, K. Venkat; Henry Ford Hospital, Detroit, MI, USA De Novo Post-Transplant Fibrillary Glomerulonephritis: Case Report of Treatment Monalisa Joseph, Shamik Bhadra, Karthik Ranganna, Gregory Malat, Stephen Guy, Alden Doyle; Drexel University College of Medicine, Philadelphia, PA, USA Atypical Case of Tacrolimus Induced Ataxia Manish Kadian, Sherry Saadat, Karen Garn, Manish Talwar, Maria Salazar, Beje Thomas; Medical University of South Carolina, Charleston, South Carolina, USA Health Literacy and Outcomes in Kidney Transplant Abby Kazley, Jessica Jordan, Kit Simpson, Ken Chavin, Prabhakar Baliga; Medical University of South Carolina, Charleston, SC, USA Acute Kidney Allograft Rejection Refractory to Medical Therapy: Radiation Treatment Revisited Sarah Khan, Adrian Sequeira, Zulqarnian Abro, M. Kazem Fallahzadeh, Ghazi Zibari, Hosein Shokouh-Amiri, Neeraj Singh; LSU Health Sciences Centre, Shreveport, Louisiana, USA Perioperative Blood Pressure and Kidney Transplant Outcomes Dhiren Kumar, Anne L. King, Martha Behnke, Marc Posner, Gaurav Gupta; Department of Transplant Nephrology and Surgery, Virginia Commonwealth University, Richmond, VA, USA Effect of Induction Therapy With Thymoglobulin on Outcome in Hepatitis C Infected Kidney Transplant Recipients: A Single Center Experience Julie Ann T. Linatoc, Anne King; Virginia Commonwealth University, Richmond, Virginia, USA Relapsing-Remitting Course of Mixed Cryoglobulinemic Glomerulonephritis After Kidney Transplantation Julie Ann T. Linatoc, Anne King, Gaurav Gupta; Virginia Commonwealth University, Richmond, Virginia, USA A Rare Case of Guillain-Barre Syndrome Due to Disseminated CMV Infection in a Kidney Transplant Recipient Iqbal Masood, Keith R. Superdock, Kazi Saifullah; Lankenau Medical Center, Wynnewood, PA, USA Autosomal Dominant Polycystic Kidney Disease (PKD) Evaluated for Renal Transplantation. A Single Center Experience Mittal A., Rao S., Chami A., Perez S., Chapman A.B.; Emory University Hospital, Atlanta, GA, USA Extensive Intratubular BKV⫹ Urothelial Carcinoma (UC) in a Renal Transplant 7 Years After Clearance of BK Viremia P. Myers-Gurevitch, S. Salvatore, D. Dadhania, B. Robinson, S. Seshan; Division of Nephrology, NYPH-Weill Cornell, NYC, NY Cryptosporidiosis in an Adult Simultaneous KidneyPancreas Transplant Patient Emmanuel Nwadike, Ramandeep Banga, Manish Talwar, Vaqar Ahmed, Maria Nieva Salazar, Beje Thomas, Martin Bunke; Medical University of South Carolina, Charleston, SC, USA Medical Traveler-A Lesson to be Learned? Anju Oommen, Antonio Guasch; Emory University School of Medicine, Atlanta, Georgia, USA A13

NKF 2013 Spring Clinical Meetings Abstracts 226 Perceptions of Patient With Chronic Kidney Disease (CKD) About Kidney Transplantation: A Study of an Inner City CKD Clinic Anju Oommen, William McClellan, Oluwaseun Odewole, Justin Echouffo-Tcheugui, Jason Cobb, Titilayo Ilori; Emory University School of Medicine, Atlanta, Georgia, USA 241 Necrotizing Sinus Lesion-An Uncommon Presentation of a Common Fungal Infection in an Organ Transplant Recipient Unnikrishnan P.K. Pillai, Nishigandha Pradhan, Jatinder Hothi, Atul Singh; Wayne-State University, Detroit, MI, USA 252 Do No Harm: Phosphate Supplementation in Kidney Transplant Patients Maryam Qadir, Madhavilatha Vuppali, Mary Buffington, Neeraj Singh; Louisiana State University Health Center, Shreveport, LA, USA 259 To Report a Rare Case of Posttransplant Non-secretory Multiple Myeloma With Renal Allograft Plasmacytoma Swati Rao, Stephen Pastan, Ashtar Chami; Emory University Hospital, Atlanta, GA, USA 269 Association of Race–Ethnicity and Age With Transplant in Dialysis Patients Connie M. Rhee, Paungpaga Lertdumrongluk, Elani Streja, Jongha Park, Hamid Moradi, Wei Ling Lau, Keith C. Norris, Allen R. Nissenson, Alpesh N. Amin, Csaba Kovesdy and Kamyar Kalantar-Zadeh; Harold Simmons Center, UC Irvine Medical Center, Orange, CA 286 Early Adenovirus Nephropathy and Fever of Unknown Origin in Renal Allograft Mili Shah, Anne King, H. David Massey, Gaurav Gupta; Virginia Commonwealth University, Richmond, Virginia, USA 289 Post-Transplantation Lymphoproliferative Disorder in Kidney Transplant Patients With Alemtuzumab Induction Silvi Shah, Mareena Zachariah; University at Buffalo, NY 312 Renal Allograft Compartment Syndrome: A Compressed Case Report Muhammad Syed, Alden Doyle, Karthik Ranganna, Stephen Guy, Talal Khan, Hasan Arif, Gregory Malat; Drexel University College of Medicine, Philadelphia, PA, USA 314 Pneumonia Mimicking Perforated Acute Appendicitis in a Kidney Transplant Recipient Ekamol Tantisattamo, Ashtar Chami; Renal Division, Emory University, Atlanta, Georgia, USA 324 Use of Preoperative Plasmapheresis and IVIG to Reduce the Risk of Kidney Graft Thrombosis in a Patient With Lupus and Antiphospholipid Antibody Syndrome Uqdah H., Polyakov M., Ranganna K., Joseph M., Malat G., Guy S., Xiao G., Reich D., Doyle A.; Drexel University College of Medicine, Philadelphia, PA, USA 326 Renal Transplantation in the Presence of HLA-DQ and –DP Antibodies: An Option for Highly Sensitized Patients? Omkar Vaidya, Chantale Lacelle, Trung Luong, Meelie Debroy, Juan Arenas, Todd N. Eagar, and Christopher Y. Lu; UT Southwestern Medical Center, Dallas, Texas, USA 330 Fatal Case of Sirolimus-Associated Alveolar Hemorrhage Sharad Virmani, Warren Kupin; University of Miami Miller School of Medicine, Department of Nephrology, Miami Transplant Institute, Miami, FL, USA 339 Early Kidney Transplantation in Patients With Prostate Cancer Have Better Survival Benefit Than Patients on Hemodialysis Awaiting a Cancer Free Period Before Kidney Transplant A14

Thet Zaw, Vivek Agarwal, Sadanand Palekar; Dept of Renal Transplant, Newark Beth Israel Med Center, Newark, NJ, USA 340 Surgery vs Radiation: Which Modality Has Improved Survival Outcome in Patients With Local Prostate Cancer Post Kidney Transplantation? Thet Zaw, Vivek Agarwal, Sadanand Palekar, Iliana Cardona; Dept of Renal Transplant, Newark Beth Israel Med Ctr, Newark, NJ, USA

OTHER 11 Treatment of Idiopathic Light Chain Deposition Disease Mohamad Al-Abed, Mohamad Alhajhusain, Susmitha Dhanyamraju; Geisinger Health System, Danville, PA, USA 16 Renal Mycobacterium Avium Complex Infection in an Immunocompetent Patient-A Case Report Parham Amini, Aaron Stern; Mount Sinai School of Medicine, Elmhurst Hospital Center, Elmhurst, NY, USA 17 Doxorubicin Induced Thrombotic Microangiopathy-2 case Reports of This Unknown Association Asif Ansari, Sheru Kansal, Andres Chiesa-Vottero, James Simon; Cleveland Clinic Foundation, Cleveland, OH, USA 76 Antimicrobial Prophylaxis (AP) in Children With Spina Bifida: An Unintended Experiment Kevin Couloures1, Beverly Gedney2, Michael Machiorlatti1, Candace Robledo1, Michael Anderson1, Olivera Marsenic1, Leonard Skaist2, Lawrence Opas2; 1OU Children’s, Oklahoma City, OK; 2LAC⫹USC Medical Center, Los Angeles, CA, USA 78 An Unusual Triggering Factor for Thrombotic Thrombocytopenic Purpura (TTP) Paras Dedhia, Sirisha Gayam, Tasneem Shah, Matthew Novak; Department of Internal Medicine, Guthrie/Robert Packer Hospital, Sayre, PA, USA 101 Catastrophic Antiphospholipid Syndrome Presenting With Complete Aortic Occlusion and Diffuse TMA in the Kidney Ranil Gajanayaka, Qi Qian; Mayo Clinic, Rochester, MN, USA 109 Satisfaction of Slovenian Hemodialysis Patients With Received Information From Health Professionals and Management of Arteriovenous Fistula Uroš Godnov, Koper, Slovenia; Tanja Carli, Tolmin, Slovenia; Katja Jarc, Kranj, Slovenia; Evgen Benedik, Škofja Loka, Slovenia; Senka Cˇerne, Ljubljana, Slovenia 113 Case Report of Dialysis Dependent Renal Failure From Oxalate Nephropathy Versus Nano Silver Ashley Green; University of Texas at Houston, Houston TX, USA 123 AST-120 Can Mitigate Uremia Induced Impairment in Wound Healing Hix, John Kevin; Stadler, Istvan; Silver, Stephen; Rochester, New York, USA 129 Withdrawal From Dialysis and Palliative Care for Severely Ill Dialysis Patients in Terms of Patient-Centered Medicine Hideaki Ishikawa1, Waichi Sato1, Saori Tsukushi2, Chisato Shigematu2, Junichi Sakamoto2, 1Shoichi Maruyama, 1Seiichi Matsuo; 1Nephrology, Nagoya University Graduate School of Medicine; 2Tokai Central Hospital of Japan Mutual Aid Association of Public School Teachers 133 Management and Outcome of Patients Receiving Chronic Outpatient Hemodialysis Following LVAD Implantation Judy L. Jang1, Anitha Vijayan1, Daniel W. Coyne1, Susan Joseph2, Scott C. Silvestry3, Sunil M. Prasad3, Tingting Li2; 1 Renal Division; 2Cardiovascular Division; 3Division of Am J Kidney Dis. 2013;61(4):A1-A100

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Cardiothoracic Surgery, Washington University, St. Louis, MO, USA Severe Anion Gap Acidosis Associated With Intravenous Sodium Thiosulfate Administration Michael Mao, Sarah Lee, Kianoush Kashani, Robert Albright, Qi Qian; Mayo Clinic, Rochester, MN, USA Idiopathic Renal Infarction in a Healthy Active-Duty Male Jorge Martinez, Jian Ming Mei, Christa Eickhoff, Dustin Little; Walter Reed National Military Medical Center, Bethesda, MD, USA Spontaneous Bilateral Subcapsular Hematoma of the Kidneys: A Case Report Nidhi Mattoo Munshi; Scott & White Hospital, Temple, TX, USA Acute Kidney Injury Due to Interstitial Tumor Infiltration as the Presenting Manifestation of Burkitt’s Lymphoma Armeen Oonwala, Pablo Casares, Anip Bansal; St Luke’s Roosevelt Hospital Center, New York, NY, USA Methanol Intoxication in CKD Stage 5 Complicating an Spontaneous Urinary Ethanol Fermentation Due to Fungal Pyelonephritis Julissa Ortega, Bassem Rouphael, Alfredo Peguero, Craig Courville, Jorge Lamarche; Tampa VA Hospital, Tampa, FL, USA A Case of Encapsulating Peritoneal Sclerosis Treated With Mycophenolate Mofetil and Prednisone Janice Park, Janet Young, Jose Morfin; University of California at Davis, Sacramento, California, USA Lynch Syndrome Zebra or Horse?

Am J Kidney Dis. 2013;61(4):A1-A100

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Stefanie Puher, William Difilippo, Ion Dan Bucaloiu; Geisinger Medical Center, Danville, PA, USA Vancomycin Toxicity and Acute Kidney Injury in Pregnancy Hammad Qadir, Amita Vasudeva, Rebecca Schmidt; West Virginia University, Morgantown, West Virginia, USA Successful Delivery of Diabetes Education During Hemodialysis in the Renal Unit–Lessons Learned Onalee Randell, Betty VanBeek, Maureen McIntyre, Julie Gordon, Eduard Iliescu; Kingston General Hospital, Kingston, ON, CA, USA Urine Microscopy: Use of a Smart Phone Camera to Improve Documentation and Teaching of the Urine Sediment M. Rasheed, O. Olabige, S. Sharif, H. Anderson, L. Herbert, S. Jain, J. Wallach; Harlem Hospital Center-Columbia University, New York, NY Can We Provide 5 Hours of Uninterrupted Sleep to Our On Call Nephrology Fellows? A Strategy to Make Nephrology Fellowship More Attractive Shaifali Sandal, Jagmeet Singh, Prabhakorn Kitbhoka, Rebeca Monk, Scott Liebman; University of Rochester Medical Center, Rochester, New York, USA The Smartphone in Nephrology: Preliminary Survey on Current Trends and Perceived Needs Ritu K. Soni, Paul M. Palevsky; Renal-Electrolyte Division, University of Pittsburgh School of Medicine and Renal Section, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA Air Quality Index and All-Cause Mortality in Maintenance Dialysis Patients Elani Streja, Bryan Shapiro, Miklos Z. Molnar, Jongha Park, Csaba Kovesdy, Kamyar Kalantar-Zadeh; Harold Simmons Center, UC Irvine Medical Center, Orange, CA

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