Post Kidney Transplant Renal Injury!

A Short Reminder!

We encounter acute renal failure always in the post transplant period
Besides the traditional pre renal, renal and post renal way of looking at the causes of renal injury post transplant, a mnemonic I learned from my mentors was : SCRI
or short for serum creatinine.

S- STRUCTURAL CAUSES
C- Calcineurin Toxicity
R- Rejection, any type/ Recurrence of primary disease
I- Infection, usually BK

The causes of proteinuria post transplant( major causes)
Rejection
Recurrence
De novo Glomerular Disease
Transplant Glomerulopathy
Post Transplant Collapsing FSGS