Case Report

Relapsing De Novo Membranous Nephropathy

Table 1

Laboratory and biopsy findings at 1, 6, and 10 years posttransplantation.

2010 (one yr. Post-Tx)2015 (six yrs. Post-Tx)2019 (ten yrs. Post-Tx)

S. Cr0.9 mg/dl1.15 mg/dl1.27 mg/dl
24 hrs. urinary proteinNil5.3 gm/24 hr4.9 gm/24 hr
CSA c0 level275 ng/ml200 ng/ml185 ng/ml
Allograft size/RINormal/0.5Normal/0.6Normal/0.6
HBV/HCVNegativeNegativeNegative
CMVNegativeNegativeNegative
Urine decoy cellsNegativeNegativeNegative
Biopsy
 (i) TubulitisNegativeNegative
 (ii) CapillaritisNegativeNegative
 (iii) C4dNegativeNegative
 (iv) SV40NegativeNegative
 (v) IF/TA<10%<10%
 (vi) PLA2R antigenN/ANegative
Anti-PLA2R antibodyN/ANegative
THSDA7N/ANegative
ANA/anti-ds-DNANegativeNegative
C-ANCA/P-ANCANegativeNegative
C3/C4NormalNormal
Malignancy screenNegativeNegative