TY  - CHAP
M1  - Book, Section
TI  - Thrombotic Microangiopathy
A1  - Bijol, Vanesa
A2  - Molmenti, Ernesto Pompeo
PY  - 2023
T2  - Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e
AB  - 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.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1194189441
ER  -