Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ 51-year-old man with end stage polycystic kidney disease. Received a deceased donor kidney transplant 7 years prior to current presentation. Maintained on MMF, prednisone, and tacrolimus. Prior history of rejection. Average creatinine around 1.0 mg/dl. Lost to follow up for 10 months. Admits missing several doses of his immunosuppression medications. Current creatinine 5.5. Allograft biopsy shows extensive interstitial edema and plasma cell-rich infiltrate. Tubules appear distended with flattening of the epithelial layer. These features suggest late acute plasma cell-rich allograft rejection that is associated with under-treatment or poor compliance with immunosuppressive treatment. In general, prognosis is poor. ++ FIGURE 112-1 Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 112-2 Graphic Jump LocationView Full Size||Download Slide (.ppt) Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth