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

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

3. 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

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

5. 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

6. Case 1: Renal graft biopsy