Fig 4 from Fogo et al AJKD, © National Kidney Foundation.
- Incidence: This rarely recurs post kidney transplantation. Hence, recurrence risk factors and allograft prognosis is not known. De novo minimal change disease is also very rare.
- Clinical Features: Sudden onset nephrotic syndrome; need to rule out secondary causes such as malignancy, medications, and recurrent FSGS early in the post transplant period.
- Treatment: High dose steroids.
- Allograft Prognosis: The glomerular disease had no meaningful long term adverse effect on the on the kidney allograft when promptly treated.
Dr. Kenar Jhaveri
AJKD Blog Editor
To view the installment full-text or PDF (freely available), please visit the Atlas of Renal Pathology II at AJKD.org.