Donna J. Lager, M.D., FCAP

Director, Renal Pathology

Why ProPath for Renal Pathology?

ProPath’s Renal Pathology Division serves nephrologists, transplant surgeons, and others caring for patients with renal disease by providing expert renal biopsy interpretation and unmatched patient-centered service. We provide comprehensive diagnostic tissue interpretation, including light microscopy, immunofluorescence, and electron microscopy.

ProPath’s state-of-the-art immunohistochemistry laboratory also provides diagnostic support for work with atypical lymphoid-infiltrates, amyloid typing, and virus detection (CMV, BKV, etc.).

Our Renal Pathologists

Donna J. Lager, M.D., FCAP

Director, Renal Pathology

Latest Renal Pathology News

Renal Pathology Resources


Practical Renal Pathology, A Diagnostic Approach By Donna J. Lager, MD and Neil Abrahams, MD


Halloush R, Lavrovskaya E, Mody DR, Lager DJ, Truong L. Diagnosis and typing of systemic amyloidosis: the role of abdominal fat pad fine needle aspiration biopsy. Cytojournal. 2010;6:24.

Talmon G, Cornell LD, Lager DJ. Mitochondrial changes in cidofovir therapy for BK virus nephropathy. Transplant Proc. 2010;42(5):1713-1715.

Cosio FG, Lager DJ, Lorenz EC, Amer H, Gloor JM, Stegall MD. Significance and implications of capillaritis during acute rejection of kidney allografts. Transplantation. 2010;89(9):1088-1094.


El-Zoghby ZM, Stegall MD, Lager DJ, et al. Identifying specific causes of kidney allograft loss. Am J Transplant. 2009;9(3):527-535.

Sukov WR, Remstein ED, Nascimento AG, Sethi S, Lewin M. Sclerosing extramedullary hematopoietic tumor: emphasis on diagnosis by renal biopsy. Ann Diagn Pathol. 2009;13(2):127-31.

Sukov WR, Ketterling RP, Lager DJ, et al. CCND1 rearrangements and cyclin D1 overexpression in renal oncocytomas: frequency, clinicopathologic features, and utility in differentiation from chromophobe renal cell carcinoma. Hum Pathol. 2009;40(9):1296-1303.

Czarnecki PG, Lager DJ, Leung N, Dispenzieri A, Cosio FG, Fervenza FC. Long-term outcome of kidney transplantation in patients with fibrillary glomerulonephritis or monoclonal gammopathy with fibrillary deposits. Kidney Int. 2009;75(4):420-427.


Soares SM, Fervenza FC, Lager DJ, Gertz MA, Cosio FG, Leung N. Bleeding complications after transcutaneous kidney biopsy in patients with systemic amyloidosis: single-center experience in 101 patients.
Am J Kidney Dis. 2008;52(6):1079-1083.

Fervenza FC, Torra R, Lager DJ. Fabry disease: an underrecognized cause of proteinuria. Kidney Int. 2008;73(10):1193-1199.

Fervenza FC, Croat AJ, Bittar CM, Rosenthal DW, Lager DJ, Leung N, Zendenrust SR, Nath KA. Induction of heme oxygenase-1 and ferritin in the kidney in warm antibody hemolytic anemia. Am J Kidney Dis. 2008;52(5):972-977.

Boseman P, Lewin M, Dillon J, Sethi S. Marfan syndrome, MPGN, and bacterial endocarditis. Am J Kidney Dis. 2008;51(4):697-701.

Gloor J, Cosio F, Lager DJ, Stegall MD. The spectrum of antibody-mediated renal allograft injury: implications for treatment. Am J Transplant. 2008;8(7):1367-1373.


Fischer EG, Lager DJ. Anti-glomerular basement membrane glomerulonephritis: a morphologic study of 80 cases. Am J Clin Pathol. 2006;125(3):445-450.

Swaminathan S, Lager DJ, Qian X, Stegall MD, Larson TS, Griffin MD. Collapsing and non-collapsing focal segmental glomerulosclerosis in kidney transplants. Nephrol Dial Transplant. 2006;21(9):2607-2614.

Fischer EG, Moore MJ, Lager DJ. Fabry disease: a morphologic study of 11 cases. Mod Pathol. 2006;19(10):1295-1301.

Soares SM, Lager DJ, Leung N, Haugen EN, Fervenza FC. A proliferative glomerulonephritis secondary to a monoclonal IgA. Am J Kidney Dis. 2006;47(2):342-349.


Rosenthal D, Lien YHH, Lager DJ, et al. A novel α-galactosidase A mutant (M42L) identified in a renal variant of Fabry disease. Am J Kidney Dis. 2004;44(5):E85-E89.

Borza DB, Chedid MF, Colon S, Lager DJ, Leung N, Fervenza FC. Recurrent Goodpasture’s disease secondary to a monoclonal IgA1-κ antibody autoreactive with the α1/α2 chains of type IV collagen. Am J Kidney Dis. 2005;45(2):397-406.

Leung N, Lager DJ, Gertz MA, Wilson K, Kanakiriya S, Fervenza FC. Long-term outcome of renal transplantation in light-chain deposition disease. Am J Kidney Dis. 2004;43(1):147-153.

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