Case 8-2003

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Abstract
Presentation of CaseA 35-year-old man with end-stage renal disease and a history of failed renal transplantation was admitted to the hospital for another transplantation.When the patient was 10 years old, diabetes mellitus type 1 developed, resulting in diabetic retinopathy, neuropathy, vasculopathy, hypertension, and hyperlipidemia. He underwent repeated procedures for a detached retina and was legally blind. Nine years before admission, renal failure occurred, and hemodialysis was begun. One year later, a right-sided nephrectomy and transplantation of a cadaveric kidney into the right iliac fossa were performed. Four years before admission, the patient's base-line creatinine concentration began rising from . . .