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Figure 1: (a) By light microscopy, the initial biopsy show focal segmental glomerulosclerosis; however, no tubular atrophy or interstitial fibrosis was noted (b) by light microscopy, the following biopsy show focal segmental glomerulosclerosis, occasional globally sclerosed glomerulus along with mild patchy tubular atrophy occupying 10–15% of the sampled cortex (c) higher magnification of the 5th allograft biopsy show lesion of segmental sclerosis with hyalinosis and synechiae formation (d) electron microscopy performed on 4th allograft biopsy show extensive foot process effacement

Figure 1: (a) By light microscopy, the initial biopsy show focal segmental glomerulosclerosis; however, no tubular atrophy or interstitial fibrosis was noted (b) by light microscopy, the following biopsy show focal segmental glomerulosclerosis, occasional globally sclerosed glomerulus along with mild patchy tubular atrophy occupying 10–15% of the sampled cortex (c) higher magnification of the 5<sup>th</sup> allograft biopsy show lesion of segmental sclerosis with hyalinosis and synechiae formation (d) electron microscopy performed on 4<sup>th</sup> allograft biopsy show extensive foot process effacement