移植レポート : オープンアクセス

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Diabetes and Diabetic Nephropathy Co-Occurring after Kidney Transplants Report on a Case

Surasak Kantachuvesiri

Membranous nephropathy (MN) is a glomerular complaint generally set up in transplanted feathers. The natural history of MN post-transplant is changeable and robotic absolution is uncommon. Diabetic nephropathy (DN) is also generally seen in cases with dragged new onset diabetes mellitus after transplant (NODAT). Still, there have been no former reports ofco-existing MN and DN in transplanted feathers. We herein report a case of 53- time-old manly with earlypost-transplant proteinuria and bitsy hematuria due to MN with posterior clinical robotic absolution. Due to the early onset of complaint after transplant and presence of serumanti-phospholipase A2 receptor (anti-PLA2R) antibody, the substantiation suggests primary intermittent MN in this case. He was also diagnosed with NODAT, with fair glycaemic control with oral hypoglycaemic agents. Sixteen times after absolution, he developed intermittent proteinuria and progressive impairment of renal function. The allograft vivisection revealed both MN and DN. Both conditions may have contributed to the development of glomerular pathology in this case.