RT Book, Section A1 Bijol, Vanesa A2 Molmenti, Ernesto Pompeo SR Print(0) ID 1194189260 T1 Acute Plasma Cell-Rich Allograft Rejection T2 Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e YR 2023 FD 2023 PB McGraw Hill PP New York, NY SN 9781260474275 LK accesssurgery.mhmedical.com/content.aspx?aid=1194189260 RD 2024/03/29 AB 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.