Recurrent focal segmental glomerulosclerosis apparently resistant to plasmapheresis improves after surgical repair of arteriovenous fistula aneurysms

We present a case of recurrent FSGS 6 years after transplantation. It is instructive because proteinuria did not respond to intensive plasmapheresis—combined with rituximab—until the possibility of ineffective apheresis secondary to multiple aneurysms in the arteriovenous fistula (AVF) was considered. Proteinuria improved soon after alternative access for plasmapheresis was secured and AVF aneurysms were surgically repaired.

Source: CKJ: Clinical Kidney Journal - May 30, 2016 Category: Urology & Nephrology Authors: Ding, Y., Francis, J., Kalish, J., Deshpande, A., Quillen, K. Tags: TRANSPLANTATION AND GLOMERULONEPHRITIS Source Type: research