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932          Part Seven  Organ-Specific Inflammatory Disease



                                                                   On tHe HOrIZOn
                                                                 •  The advent of new genetic and molecular techniques and new disease
                                                                   models has led to exciting progress in our understanding of the biology
                                                                   of the glomerulus, the pathogenesis of many glomerular diseases,
                                                                   and the influence of genetic variants on disease predisposition and
                                                                   progression.
                                                                 •  It is anticipated that these insights should lead to better noninvasive
                                                                   diagnostic techniques, biomarkers, and predictors of prognosis and
                                                                   relapse and facilitate a more personalized approach to therapy rather
                                                                   than a one-size-fits-all approach.
                                                                 •  Novel  targeted therapies are  on the  horizon that will  interrupt  or
                                                                   modulate the underlying pathophysiology of the individual diseases
                                                                   and also halt the downstream pathways of injury and fibrosis common
                                                                   to all of the glomerular diseases.


        FIG 68.16  Scleroderma Renal Crisis. Renal arteriole demon-
        strates extensive fibrin deposition (dark material) within multiple   Please check your eBook at https://expertconsult.inkling.com/
        layers of its wall. The lumen is further compromised by severe   for self-assessment questions. See inside cover for registration
        swelling and intimal hyperplasia (Masson trichrome stain).   details.

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