1. Presented by Mark Haas, M.D. and prepared by Carol Allan, M.D.

A 39 year old man received a living-related kidney transplant from his brother 1 week ago. His original renal disease was polycystic kidney disease. His medications include prednisone, mycophenolate mofetil, and cyclosporine (CSA). The transplant functioned well initially, but now the patient has a serum creatinine of 2.2 mg/dL, up from a baseline of 1.7. He undergoes a biopsy of the transplanted kidney.

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