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Published ahead of print on October 17, 2007
J Am Soc Nephrol 18: 2870-2874, 2007
© 2007 American Society of Nephrology
doi: 10.1681/ASN.2007020158
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Pathophysiology of the Renal Biopsy

Acute Renal Failure and Myalgia in a Transplant Patient

Behzad Najafian*, Donald B. Franklin{dagger} and Agnes B. Fogo*

* Department of Pathology, Vanderbilt University Medical Center, Nashville and {dagger} Nephrology Associates, Chattanooga, Tennessee

Correspondence: Dr. Agnes B. Fogo, C-3310-A MCN, Department of Pathology, Vanderbilt University Medical Center, Nashville, TN 37232-2561. Phone: 612-322-3114; Fax: 612-343-7023; E-mail: agnes.fogo{at}vanderbilt.edu

A 64-yr-old man with kidney transplant for ESRD as a result of diabetic nephropathy presented with acute renal failure, weakness, myalgia, and pigmented urine. His medications included mycophenolate, cyclosporine, prednisone, furosemide, diltiazem, aspirin, simvastatin, an angiotensin receptor blocker, and insulin. A renal biopsy was performed. Pathologic findings and differential diagnosis are discussed, and the literature is reviewed.




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J. A. Schroeder, C. Weingart, B. Coras, I. Hausser, S. Reinhold, M. Mack, V. Seybold, T. Vogt, B. Banas, F. Hofstaedter, et al.
Ultrastructural Evidence of Dermal Gadolinium Deposits in a Patient with Nephrogenic Systemic Fibrosis and End-Stage Renal Disease
Clin. J. Am. Soc. Nephrol., July 1, 2008; 3(4): 968 - 975.
[Abstract] [Full Text] [PDF]


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