Recurrence of scleroderma in a renal allograft from an identical twin sister.
A patient with scleroderma developed renal failure secondary to recurrence of scleroderma in a renal allograft from an identical twin. This report reviews the previous reports of scleroderma recurrence in renal allografts; the differential diagnosis of scleroderma renal crisis, including cyclosporine toxicity, malignant hypertension, and allograft rejection; and the pathophysiology of this disease.
Caplin
N J
NJ
Departments of Internal Medicine and Pathology, The Mount Sinai Hospital, New York, NY 10028, USA. ninacaplin@aol.com
Dikman
S
S
Winston
J
J
Spiera
H
H
Uribarri
J
J
D003937:Diagnosis, Differential; D005260:Female; D006084:Graft Rejection / Q000473:pathology; D006801:Humans; D007668:Kidney / Q000473:pathology; D016030:Kidney Transplantation; D008875:Middle Aged; D012008:Recurrence; D051437:Renal Insufficiency / Q000209:etiology*; D012595:Scleroderma, Systemic / Q000150:complications / Q000473:pathology* / Q000601:surgery; D014430:Twins, Monozygotic