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ABMR, ALECT, and Fibrillary Glomerulopathy
Welcome back to another interesting case in our Banff and Beyond series. To begin, the history is a 59 y/o…

Utilizing the Banff Guidelines
Welcome to our new transplant series, Banff and Beyond! Throughout this series, Dr. Murphy will provide short, concise examples of…

Diagnose This (January 3, 2022)
In a renal allograft biopsy with this finding, what is your diagnosis? …

Diagnose This (January 12, 2021)
What are the two major changes seen in this image from an allograft kidney and what are these findings concerning…

Twitter Poll (February 20, 2019)
ANSWER: B The findings are suspicious for active antibody-mediated rejection (ABMR), based on the presence of moderate glomerulitis (g2), severe…

Twitter Poll (May 23, 2018)
True! Histologic evidence of acute tissue injury in AABMR includes 1 or more of the following: microvascular inflammation (glomerulitis and/or…

Chronic Active Antibody-Mediated Rejection
A diagnosis of chronic active antibody-mediated rejection (ABMR) requires morphologic evidence of chronic tissue injury (e.g. transplant glomerulopathy), evidence of…

Diagnose This! (March 19, 2018)
What is your diagnosis in this renal transplant biopsy? …

Twitter Poll (Febuary 28, 2018)
ANSWER: C Intimal arteritis (v1 and v2) is more commonly associated with mixed ABMR/TCMR than with pure ABMR. It may…

Diagnose This! (February 19, 2018)
What is your diagnosis in this renal transplant patient? …

Pushing Glass (October 10, 2017)
The patient is a 50-year-old African-American female with a past medical history significant for ESRD secondary to lupus nephritis who…

Chronic Transplant Arteriopathy
This image shows an arterial cross-section with features of chronic transplant arteriopathy (a.k.a. sclerosing transplant vasculopathy and chronic allograft vasculopathy).…

Glomerulitis
This image (Jones silver stain) shows prominent glomerulitis in an allograft kidney biopsy, characterized in this case by increased mononuclear…

Diagnose This! (August 28, 2017)
What is this finding and what is the most likely etiology? …