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Books: 0	Journals: 2	Articles: 2

Books: 0

Journals: 2

Articles: 2

Letter to the Editor

Outcomes of COVID-19-positive kidney transplant recipients: A single-center experience

Goni Katz-Greenberg, Anju Yadav, Maitreyee Gupta, Maria P. Martinez-Cantarin, Rakesh Gulati, Lily Ackerman, Katherine Belden, and Pooja Singh

Volume 94 (2020) p. 318 - 321

Abstract

Clinical Nephrology, Vol. 94 – No. 6/2020 – Letters to the editor

Outcomes of COVID-19-positive kidney transplant recipients: A single-center experience

Goni Katz-Greenberg¹, Anju Yadav¹, Maitreyee Gupta¹, Maria P. Martinez-Cantarin¹, Rakesh Gulati¹, Lily Ackerman², Katherine Belden³, and Pooja Singh¹

¹Division of Nephrology, ²Division of Hospital Medicine, and ³Division of Infectious Disease, Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA
Correspondence to:
Goni Katz-Greenberg, MD
Division of Nephrology, Department of Medicine
Thomas Jefferson University Hospital
833 Chestnut Street, Suite 700
Philadelphia, PA 19107, USA
Email: [email protected]

case studies

Late-onset recurrent lupus nephritis in a kidney transplant recipient

Jessica K. Cobb, Paul Endres, Prashamsa Shenoy, Edward J. Filippone, Maitreyee Gupta, and Rakesh Gulati

Volume 14 (2026) p. 24 - 29

Abstract

Clinical Nephrology – Case Studies, Vol. 14/2026 (24-29)

Late-onset recurrent lupus nephritis in a kidney transplant recipient

Jessica K. Cobb², Paul Endres², Prashamsa Shenoy¹, Edward J. Filippone¹, Maitreyee Gupta¹, and Rakesh Gulati¹

¹Department of Transplant Nephrology, and ²Department of Internal Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA
Long-term kidney allograft survival continues to be a challenge, despite improvements in the short term. Recurrence of glomerular disease is a significant cause of allograft failure. We report a case of graft dysfunction 27 years post transplant attributed to biopsy-proven recurrent class IV lupus nephritis. Following targeted medication adjustments aimed at treating lupus nephritis, the patient achieved complete remission within 6 months, which has been sustained for 4 years. Although recurrent lupus nephritis is reported to occur up to 16 years after transplantation, it is uncommon, and represents a potentially treatable cause of graft failure. This report underscores the critical need for heightened awareness and prompt management of recurrent lupus nephritis regardless of the time post transplant to enhance long-term allograft survival. Furthermore, our case highlights that positive allograft staining in peritubular capillaries for C4d may result from recurrent immunecomplex disease as opposed to antibodymediated rejection.Correspondence to:
Dr. Jessica Cobb, 1199 Ludlow St. #1401, Philadelphia, PA 19107, USA
Email: [email protected]

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