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Definition: a form of urinary cast consisting of homogeneous proteinaceous material that has a high refractive index, in contrast to the low refractive index of hyaline casts; waxy casts probably represent an advanced stage of the disintegrative process that results in coarsely and finely granular casts and are usually indicative of advanced renal disease.
Examples: glitazone, GI cocktail, etc.
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