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Table 2 Pathologic scoring of kidney biopsy specimens from 135 patients with DKD

From: Modified arteriosclerosis score predicts the outcomes of diabetic kidney disease

Pathologic scores

Pathologic definitions

Prevalence, n (%)

RPS Glomerular class

 I

Mild

1 (0.7%)

 IIa

Mild mesangial expansion in > 25% of mesangium

15 (10.2%)

 IIb

Severe mesangial expansion in > 25% of mesangium

17 (11.6%)

 III

At least one KW lesion

86 (58.5%)

 IV

Advanced diabetic glomerulosclerosis

16 (10.9%)

IFTA

 0

None

0 (0%)

 1

1–25%

25 (18.5%)

 2

26–50%

45 (33.3%)

 3

> 50

65 (48.2%)

Interstitial inflammation

 0

None

0 (0%)

 1

Infiltration only in relation to IFTA

88 (65.2%)

 2

Infiltration in areas without IFTA

47 (34.8%)

Arteriolar hyalinosis score

 0

Absent

3(2.2%)

 1

At least one area of arteriolar hyalinosis

12(8.9%)

 2

More than one area of arteriolar hyalinosis

120(88.9)

Modified arteriolar hyalinosis score

 0

Absent

3(2.2%)

 1

Mild-to-moderate PAS-positive hyaline thickening in at least one arteriole

12(8.9%)

 2

moderate-to-severe PAS-positive hyaline thickening in more than one arteriole

49(36.3%)

 3

Severe PAS-positive hyaline thickening in many arterioles

71(52.6%)

Arteriosclerosis scorea

 0

No intimal thickening

0(0%)

 1

Intimal thickening less than thickness of media

63(46.7%)

 2

Intimal thickening greater than thickness of media

72(53.3%)

Modified arteriosclerosis score b

 1

0–49% The Proportion of arteries with intima thickness greater than media thickness in the biopsy

113(83.7%)

 2

≥50%

22(16.3%)

  1. Abbreviations: IFTA interstitial fibrosis and tubular atrophy, RPS the Renal Pathology Society
  2. a original arteriosclerosis score the most severely affected artery in the biopsy; b Modified arteriosclerosis score the proportion of severe arteriosclerosis in the biopsy