Dr VINITA AGRAWAL, SGPGI, LUCKNOW

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Presentation transcript:

Dr VINITA AGRAWAL, SGPGI, LUCKNOW CASE 2 Dr VINITA AGRAWAL, SGPGI, LUCKNOW

Case 1 36 year man, 2 year post renal transplant, presenting with renal allograft dysfunction

Case 1: Clinical Details R, 36 years man Live related renal transplant- April 2004 Donor- Mother Basic disease- ESRD (?CIN) On triple drug immunosuppression Presented with decreased appetite and rise in serum creatinine

Case 1 On Examination Mild pallor No edema B.P- 130/80 mm Hg Abdomen soft, no tenderness.

Case 1: Lab Investigations Parameter Value Hemoglobin 11.3gm% TLC 6700/cu.mm Platelet count 64000/cu.mm Reticulocyte count 1.5% S.Creatinine 3.6mg/dl BUN 58.1mg/dl S. Total Protein 6.6gm/dl S.Albumin 3.6gm/dl

Case 1: Renal graft biopsy