{"id":2901,"date":"2026-09-24T17:59:42","date_gmt":"2026-09-24T21:59:42","guid":{"rendered":"https:\/\/wordpress.forensicpath.us\/?p=2901"},"modified":"2026-09-24T18:01:53","modified_gmt":"2026-09-24T22:01:53","slug":"pathology-cases-arteriolar-hyalinization-in-hypertensive-diabetic-kidney","status":"publish","type":"post","link":"https:\/\/wordpress.forensicpath.us\/index.php\/2026\/09\/24\/pathology-cases-arteriolar-hyalinization-in-hypertensive-diabetic-kidney\/","title":{"rendered":"Pathology cases &#8212; arteriolar hyalinization in hypertensive\/diabetic kidney"},"content":{"rendered":"<p>Ran across a nice case of arteriolar hyalinization in a hypertensive\/diabetic patient.\u00a0 This is a 60-ish man with longstanding hypertension and diabetes mellitus II found dead at home.\u00a0 He had a history of increasing weakness and weight loss over the past few months.\u00a0 At autopsy, he had the usual hypertension\/diabetes changes, though his kidney was a bit different than what I usually see.\u00a0 His subcapsular scarring wasn&#8217;t all that bad, and his arcuate and radial arteries were only middling changed.\u00a0 However, he had pretty impressive hyalinization of his arterioles.\u00a0 The decedent&#8217;s vitreous creatinine was 4.4, estimated GFR 12.\u00a0 Here&#8217;s some pics.\u00a0 Unfortunately, he was a bit autolyzed, but it&#8217;s the thought that counts:<\/p>\n<p><a href=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7401-0_processed.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-2906\" src=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7401-0_processed.jpg\" alt=\"\" width=\"1024\" height=\"683\" srcset=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7401-0_processed.jpg 1024w, https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7401-0_processed-300x200.jpg 300w, https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7401-0_processed-768x512.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7404-0_processed.jpg\"><img decoding=\"async\" class=\"alignnone size-full wp-image-2905\" src=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7404-0_processed.jpg\" alt=\"\" width=\"1024\" height=\"683\" srcset=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7404-0_processed.jpg 1024w, https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7404-0_processed-300x200.jpg 300w, https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7404-0_processed-768x512.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7405-0_processed.jpg\"><img decoding=\"async\" class=\"alignnone size-full wp-image-2904\" src=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7405-0_processed.jpg\" alt=\"\" width=\"1024\" height=\"683\" srcset=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7405-0_processed.jpg 1024w, https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7405-0_processed-300x200.jpg 300w, https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/DSC_7405-0_processed-768x512.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\n<p>Here&#8217;s a side-by-side with a more normal glomerulus from a different case:<\/p>\n<p><a href=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/Screenshot_20260924_175001.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2902\" src=\"https:\/\/wordpress.forensicpath.us\/wp-content\/uploads\/2026\/09\/Screenshot_20260924_175001-1024x346.png\" alt=\"\" width=\"1064\" height=\"384\" \/><\/a><\/p>\n<p>As always, free for use with or without attribution, though attribution is always appreciated.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ran across a nice case of arteriolar hyalinization in a hypertensive\/diabetic patient.\u00a0 This is a 60-ish man with longstanding hypertension&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[99,109],"tags":[153,59,56,69],"class_list":["post-2901","post","type-post","status-publish","format-standard","hentry","category-forensic-pathology","category-pathology-cases","tag-autop","tag-autopsy","tag-histology","tag-kidney"],"_links":{"self":[{"href":"https:\/\/wordpress.forensicpath.us\/index.php\/wp-json\/wp\/v2\/posts\/2901","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wordpress.forensicpath.us\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wordpress.forensicpath.us\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wordpress.forensicpath.us\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wordpress.forensicpath.us\/index.php\/wp-json\/wp\/v2\/comments?post=2901"}],"version-history":[{"count":2,"href":"https:\/\/wordpress.forensicpath.us\/index.php\/wp-json\/wp\/v2\/posts\/2901\/revisions"}],"predecessor-version":[{"id":2908,"href":"https:\/\/wordpress.forensicpath.us\/index.php\/wp-json\/wp\/v2\/posts\/2901\/revisions\/2908"}],"wp:attachment":[{"href":"https:\/\/wordpress.forensicpath.us\/index.php\/wp-json\/wp\/v2\/media?parent=2901"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wordpress.forensicpath.us\/index.php\/wp-json\/wp\/v2\/categories?post=2901"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wordpress.forensicpath.us\/index.php\/wp-json\/wp\/v2\/tags?post=2901"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}