College of American Pathologists

2010 — November Case of the Month

Posted December 20, 2010


CAP Foundation November 2010 Online Case of the Month

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A 56-year-old woman with end-stage renal disease underwent renal transplant. The creatinine levels remained abnormal and despite immunosuppression adjustments, she finally required hemodialysis. Immunosuppression was discontinued and she developed fever. A transplant nephrectomy was performed after 6 weeks.

The master list with the correct answer

  • Acute cellular allograft rejection
  • Antibody-mediated allograft rejection
  • Borderline acute cellular allograft rejection
  • Chronic allograft nephropathy
  • Cyclosporine or tacrolimus toxicity
  • Post-transplant lymphoproliferative disorder

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  • Appropriate diagnosis
  • Critique
  • References

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