Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ 30-year-old man with end stage kidney disease attributed to hypertensive nephrosclerosis. Received a living unrelated kidney transplant 6 months prior to current presentation. Admitted with an oral abscess and acute kidney injury in the setting of dehydration. A biopsy was obtained to address a persistently elevated creatinine despite adequate rehydration. Allograft biopsy (Figure 112-113) showed signs of thrombotic microangiopathy (image showing a thrombosed glomerulus, H&E 200x). On review, native kidney biopsy (Figure 112-114) also showed features of chronic thrombotic microangiopathy. It is likely that the current process in the allograft is a recurrent thrombotic microangiopathy. A diagnosis of hypertensive nephrosclerosis in young patients should always be interpreted with caution. ++ FIGURE 112-113 Graphic Jump LocationView Full Size||Download Slide (.ppt) ++ FIGURE 112-114 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