Recurrent IgA Nephropathy in a Renal Allograft Presenting as Crescentic Glomerulonephritis

Dr. C. P. Streather, Renal administration, Dulwich Hospital, East Dulwich Grove, London SE22 8PT (UK) Dear Sir, IgA nephropathy is acknowledged to be a common cause of recurrent glomerulonephritis in renal allografts. Recurrence rates of 38-50% have been described in different morphological series [1-3]. However, there is general agreement that it is rare for such histo-logical disease to be clinically important [4,5]. Diaz-Tejeiro et al. [2] reported a case of recurrent IgA nephropathy having a rapidly progressive course and proceeding to graft loss. We report a second case of crescentic IgA nephropathy in a renal allograft and suggest that this complication may not be as unusual as originally thought. 700 600 500 400 ü 300 200 Plasma exchange Methylprednisolone