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Rising Serum Creatinine in a 20-Year-Old Post-Renal Transplant Patient: A Case Study

This case study presents a 20-year-old male with a history of live-related renal transplant four years prior, who is currently experiencing elevated serum creatinine levels. The patient received a kidney from his mother in March 2004 due to chronic interstitial nephritis from reflux nephropathy and is currently on triple drug immunosuppression. On examination, he showed a blood pressure of 120/70 mm Hg, mild pallor but no pedal edema. A renal graft biopsy was conducted to investigate the cause of renal dysfunction.

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Rising Serum Creatinine in a 20-Year-Old Post-Renal Transplant Patient: A Case Study

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Presentation Transcript

  1. CASE 3 Dr VINITA AGRAWAL, SGPGI, LUCKNOW

  2. 20 year man, 4 years post renal transplant, presenting with rising serum creatinine

  3. Case 1: Clinical details • GS, 20 year man • Live related renal transplant- March 2004 • Basic disease: CIN (Reflux Nephropathy) • Donor- Mother • On triple drug immunosuppression • Presented with rising serum creatinine

  4. Case 1 • On examination • B.P- 120/70mm Hg. • No pedal edema • Mild pallor present

  5. Case 2: Lab Investigations

  6. Case 2: Renal graft biopsy

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