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Isolated Vascular Lesions (IVL) in early allograft biopsies: A case series

1 Department of Pathology, NIMS, Hyderabad, Telangana, India
2 Department of Nephrology, Gandhi Medical College, Hyderabad, Telangana, India
3 Department of Nephrology, NIMS, Hyderabad, Telangana, India

Correspondence Address:
Megha Uppin,
Department of Pathology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad - 500 082, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.IJN_345_18

This case series includes five patients diagnosed as isolated vascular lesion (IVL) on allograft biopsy in an early post-transplant period. These patients presented with graft dysfunction. The biopsies satisfied the criteria for IVL as laid down by Banff 2009. Four of thesepatients were treated with corticosteroids and other anti rejection measures. C4d and DSA were negative in all. The patients showed good response to treatment with stable graft function at the longest follow-up of one year. We have also reviewed the literature about IVL as a specific entity. There are differences between the molecular and clinical data of IVL. It is difficult to differentiate whether IVL is a rejection or non-rejection process. This study aims to highlight the importance of a rare entity.

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