{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:18:52Z","timestamp":1787840332288,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Diabetic kidney disease (DKD), one of the most frequent microvascular complications of diabetes, is the leading cause of end stage kidney disease worldwide. However, a significant majority of diabetic patients may have pure non-diabetic kidney disease (NDKD) or NDKD superimposed on DKD. Certain clinical predictors in long standing diabetic patients warrant a renal biopsy, to rule out NDKD. We present 5 cases of non-diabetic kidney disease in rather unusual clinical settings. First case is of a 50-year-old diabetic female with a rapidly progressive renal failure like presentation and a disassociation between urinary dipstick and 24-hour urine protein estimation. Subsequently, patient was diagnosed with light chain cast nephropathy. Next, is a case of 61-year-old male with long standing diabetes and nephrotic range proteinuria, but had no diabetic retinopathy. Eventually, patient was diagnosed with membranous nephropathy. Another case is of a 52-year-old diabetic male, who presented with rapidly progressive renal failure and a positive MPO ANCA titre. Histopathological examination revealed it to be ANCA associated crescentic glomerulonephritis. Fourth case of a 65-year-old diabetic male, with nephritic-nephrotic syndrome like presentation and surprisingly positive MPO ANCA titre, was eventually diagnosed with membranous nephropathy. Final case of 54-year-old diabetic female, with progressive anasarca over 6 months, showed 2+ urinary dipstick but enormously high 24-hour urinary protein. Renal biopsy showed light chain deposition disease. In all 5 cases, diagnosis of NDKD led to change in course of therapy and management, leading to attainment of renal remission.<\/jats:p>","DOI":"10.4103\/ijpm.ijpm_56_25","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T17:00:08Z","timestamp":1755536408000},"page":"879-882","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Case series of nondiabetic kidney disease masked by clinical diabetes: A wolf in sheep\u2019s clothing"],"prefix":"10.4103","volume":"68","author":[{"given":"Sohini P.","family":"Sarwala","sequence":"first","affiliation":[{"name":"Department of Nephropathology, IPGME and R-SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subhrajyoti","family":"Karmakar","sequence":"additional","affiliation":[{"name":"Department of Nephropathology, IPGME and R-SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keya","family":"Basu","sequence":"additional","affiliation":[{"name":"Department of Pathology, IPGME and R-SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaushik","family":"Bhattacharya","sequence":"additional","affiliation":[{"name":"Department of Nephrology, IPGME and R-SSKM Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,8,14]]},"reference":[{"key":"R1-20251208","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1159\/000484538","article-title":"Non-diabetic kidney disease in type 2 diabetic patients: Prevalence, clinical predictors and outcomes","volume":"42","author":"Erdogmus","year":"2017","journal-title":"Kidney Blood Press 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underwent kidney biopsy in Egypt","volume":"49","author":"Kaawele","year":"2024","journal-title":"Kidney Blood Press Res"},{"key":"R7-20251208","doi-asserted-by":"crossref","first-page":"1778","DOI":"10.3390\/jcm12051778","article-title":"Heterogeneity in kidney histology and its clinical indicators in type 2 diabetes mellitus: A retrospective study","volume":"12","author":"Singh","year":"2023","journal-title":"J Clin Med"},{"key":"R8-20251208","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1186\/s12902-022-01082-8","article-title":"Clinical predictors for nondiabetic kidney diseases in patients with type 2 diabetes mellitus: A retrospective study from 2017 to 2021","volume":"22","author":"Zeng","year":"2022","journal-title":"BMC Endocr Disord"},{"issue":"Suppl 1","key":"R9-20251208","article-title":"#1671 Prevalence and factors predicting non diabetic kidney disease in type 2 diabetic patients","volume":"39","author":"Sethi","year":"2024","journal-title":"Nephrol Dial Transplant"},{"key":"R10-20251208","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.4239\/wjd.v14.i10.1450","article-title":"Multifaceted relationship between diabetes and kidney diseases: Beyond diabetes","volume":"14","author":"Esposito","year":"2023","journal-title":"World J Diabetes"}],"container-title":["Indian Journal of Pathology and Microbiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijpm.ijpm_56_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:20:34Z","timestamp":1787836834000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijpm.ijpm_56_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,14]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijpm.ijpm_56_25","relation":{},"ISSN":["0377-4929","0974-5130"],"issn-type":[{"value":"0377-4929","type":"print"},{"value":"0974-5130","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,14]]},"assertion":[{"value":"2025-01-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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