Pathologic·Pathology·Kidney

Crescentic glomerulonephritis (RPGN)

Stain: PAS·Magnification: 40x·Tissue: Renal cortex — glomerulus·3 labeled regions
Crescentic glomerulonephritis (RPGN) histology — Pathology, Kidney, PAS
Wikimedia Commons · File:Crescentic glomerulonephritis (2).jpg · https://commons.wikimedia.org/wiki/File:Crescentic_glomerulonephritis_(2).jpg (CC-licensed, MPO-ANCA positive RPGN)
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Description

Cellular crescent fills Bowman space, compressing the tuft. Marker of rapidly progressive GN — anti-GBM, ANCA, or immune-complex etiologies.

Labeled regions (3)

  1. 1
    Crescent

    Proliferation of parietal epithelial cells + macrophages in Bowman space.

  2. 2
    Compressed glomerular tuft

    Capillary loops pushed centrally by the crescent.

  3. 3
    Disrupted Bowman capsule

    Outlines of capsule blurred by fibrin/cellular reaction.

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