An 18-year old female with lupus nephritis and a panel reactive antibody (PRA) of 65% receives her third renal transplant. Her postoperative course is complicated by delayed graft function, and her serum creatinine eventually stabilizes at 1.8 mg/dl by six weeks post-transplantation. Her immunosuppressive medications are tacrolimus, mycophenolate mofetile (MMF), and prednisone. At 10 months post-transplantation, she presents with epigastric discomfort and dysphasia. Upper GI endoscopy reveals a gastric lesion, which is found to be Epstein-Barr Virus (EBV)-related post-transplant lymphoproliferative disease on histology.
KeywordsCorrect Answer Acute Rejection Graft Survival Pediatric Nephrology Delay Graft Function
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