A 54-year-old male with chronic renal failure receives a kidney transplant and begins cyclosporine immunosuppression. Six months later, he presents with progressive fatigue and dyspnea. Vital signs: BP 158/92, HR 98, RR 20, Temp 37.2°C, SpO2 94%. Serum creatinine has risen from 1.2 to 3.8 mg/dL. Urinalysis shows no proteinuria. A needle biopsy of the transplanted kidney is performed. What finding is most likely?
- A)Neutrophils, immunoglobulin, and complement in vessel walls
- B)Thickening of the blood vessel intima due to cellular proliferation
- C)Intimal fibrosis, interstitial fibrosis, and tubular atrophyGABARITO
- D)Linear deposition of immunoglobulin and complement in glomeruli
- E)T-cell interstitial infiltrate and edema
Explicação
The correct answer is A. Source: Kaplan USMLE Step 1 QBank — Microbiology/Immunology Test 1. Ver explicação completa e trilha adaptativa →