Recurrence of Granulomatosis with Polyangiitis in a Kidney Transplant Recipient (KIDNEY WEEK 2026) - Oct 2, 2026 - Abstract #PUB234; "Case Description 58 y/o F with H/o of ESRD secondary to GPA s/p kidney transplant on 10/2022 (Myfortic/FK/Prednisone), RCC s/p R nephrectomy (4/2022), DM, HTN, and pAfib who presented for Tx kidney biopsy given worsening renal function...She was treated with a course of IVMP, Rituximab, IVIG for hypoglammaglobulinemia, and Myfortic was changed to Azathioprine. She was given prophylactic Valcyte for 4 months and pentamidine for 3 months...Early recognition prevents misdiagnosis and treatment delays, as it may mimic rejection, infection, or drug toxicity. Awareness of recurrence is key for optimizing transplant timing and immunosuppression, as immunosuppression lowers recurrence risk but can mask vasculitis."
Clinical • ANCA Vasculitis • Chronic Kidney Disease • Glomerulonephritis • Infectious Disease • Inflammation • Lupus Nephritis • Musculoskeletal Pain • Nephrology • Rare Diseases • Renal Cell Carcinoma • Transplantation • Vasculitis
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Krystal C. Vega-Martinez; Saed Shawar; Trey Howard Richardson; Yihan Wang
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