e case 1 case for discussion department of pathology armed forces medical college, pune
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E CASE 1Case For Discussion
DEPARTMENT OF PATHOLOGYARMED FORCES MEDICAL COLLEGE,
PUNE
• A 23 year old male, underwent live related renal allograft transplant 3 years ago
• 1 episode of rejection in the initial post-transplant period (Acute cellular rejection and AMR) which were successfully managed with a return of serum creatinine to baseline (1.3 mg/dL).
• He now presented with nephrotic range proteinuria and serum creatinine of 1.5 mg/dL.
• Kidney biopsy was performed.
IgG, X40 C3, X40
IgM, X40 IgA, X40 C1q, X40
C4d, X 40
C4d, X 20
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