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February 19, 2018

Diagnose This! (February 19, 2018)

What is your diagnosis in this renal transplant patient?

 

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The photomicrograph shows a glomerulus on silver stain with extensive double contour formation of the glomerular basement membranes (transplant glomerulopathy) and endocapillary hypercellularity (glomerulitis). These findings are suggestive of chronic, active antibody mediated rejection.