| CASE REPORT |
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| Year : 2013 | Volume
: 7
| Issue : 3 | Page : 97-100 |
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Recurrence of focal segmental glomerulosclerosis in a renal allograft recipient
Zachariah P Polachirackal1, Vavullipathy N Unni1, Seethalekshmy N Vijayan2, Anil Mathew1, Rajesh R Nair1, George Kurian1
1 Department of Nephrology, Amrita School of Medicine, Kochi 682041, Kerala, India
2 Department of Pathology, Amrita School of Medicine, Kochi 682041, Kerala, India
Correspondence Address:
Vavullipathy N Unni
Department of Nephrology, Amrita School of Medicine, Kochi 682041, Kerala
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.1016/j.ijt.2013.06.002
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A 22-year girl, diagnosed to have primary focal segmental glomerulosclerosis in 2009, underwent live related donor renal transplantation in May 2011. Her immunosuppressive regimen included Tacrolimus, Mycophenolate Mofetil and Prednisolone. For next three months graft function remained normal. In August 2011 she developed massive proteinuria with mild graft dysfunction and graft biopsy showed recurrence of focal segmental glomerulosclerosis. She underwent nine sessions of plasmapheresis followed by two doses of Rituximab. She attained remission of proteinuria and normal graft function after treatment. She continues to be in remission at one year and six months.
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