Evidence map›Paper›PMID 40615991›Full record

ArticleBMC nephrology2025

Application of low-vacuum scanning electron microscopy and energy-dispersive X-ray spectrometry for detection of renal tubular crystals: a case of nephrocalcinosis in the setting of anorexia nervosa.

Yuexin Zhu, Kunio Kawanishi, Chika Sawa, Ping Luo, Pu Chen, Manyu Luo, Dedong Kang, Kazuho Honda

Abstract readCase Reports
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yuexin ZhuDepartment of Nephrology, The Second Hospital of Jilin University, 4026 YaTai Street, Changchun, Jilin, 130000, China.
Kunio KawanishiDepartment of Anatomy, Showa Medical University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555, Japan.
Chika SawaDepartment of Anatomy, Showa Medical University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555, Japan.
Ping LuoDepartment of Nephrology, The Second Hospital of Jilin University, 4026 YaTai Street, Changchun, Jilin, 130000, China.
Pu ChenDepartment of Nephrology, National Key Laboratory of Kidney Diseases, Beijing Key Laboratory of Kidney Disease Research, First Medical Center of Chinese PLA General Hospital, Nephrology Institute of the Chinese People's Liberation Army, National Clinical Research Center for Kidney Diseases, Beijing, China.
Manyu LuoDepartment of Nephrology, The Second Hospital of Jilin University, 4026 YaTai Street, Changchun, Jilin, 130000, China. robertlmy@jlu.edu.cn.
Dedong KangDepartment of Anatomy, Showa Medical University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555, Japan. kddong2010@gmail.com.
Kazuho HondaDepartment of Anatomy, Showa Medical University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555, Japan.

Funding

Jilin Science and Technology Program YDZJ202501ZYTS105
6 · The paper itself

Abstract

backgroundNephrocalcinosis, characterized by excessive calcium deposition within the renal parenchyma, can be a long-term complication of anorexia nervosa (AN). The extent of renal calcification can range from molecular-level alterations to macroscopic stone formation, contributing to progressive kidney injury. While early detection is critical for prognosis, limited studies have characterized the structural and elemental composition of renal calcifications associated with AN. Here, we report a case of nephrocalcinosis in the setting of AN. CASE PRESENTATION: A 25-year-old woman with AN presented with progressive renal dysfunction and gouty arthritis. Renal biopsy revealed focal tubulointerstitial nephritis with extensive calcification. Conventional light microscopy identified crystalline deposits within the tubular lumen, but further characterization required advanced imaging techniques. Low-vacuum scanning electron microscopy (LV-SEM) of formalin-fixed paraffin-embedded (FFPE) specimens demonstrated more widespread crystalline deposits than were visible by routine histopathology. Elemental analysis via energy-dispersive X-ray spectrometry (EDX) confirmed that the deposits were primarily composed of calcium phosphate.

conclusionsThese findings underscore the utility of LV-SEM/EDX in detecting and characterizing renal calcifications at high resolution. The ability to perform elemental analysis on FFPE tissue sections provides a novel and practical approach for elucidating the pathogenesis of nephrocalcinosis. These methods may enhance the accuracy of renal crystal identification, thereby facilitating earlier diagnosis and improved management of nephrocalcinosis.

Indexed as

Anorexia NervosaKidney TubulesMicroscopy, Electron, ScanningNephrocalcinosisSpectrometry, X-Ray EmissionAdultCrystallizationFemaleHumansKidney CalculiAnorexia nervosa (AN)Energy-dispersive X-ray spectrometry (EDX)Low-vacuum scanning electron microscopy (LV-SEM)Nephrocalcinosis

Identifiers

PMID40615991
PMCPMC12228323

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.