TY - JOUR AU - Yu, Qiqi AU - Suknuntha, Kran AU - Zhong, Weixiong AU - Matson, Daniel AU - Hess, Aaron AU - Rose, William PY - 2022 DA - 2022/06/02 TI - Plasmapheresis for Thrombotic Microangiopathy Due to a Post-transplant Lymphoproliferative Disorder JO - OBM Transplantation SP - 160 VL - 06 IS - 02 AB - We report a case of thrombotic microangiopathy (TMA) diagnosed in the kidney allograft of a 59-year-old woman who had developed plasmacytoma type monomorphic posttransplant lymphoproliferative disorder (PTLD) 30 years after a simultaneous pancreas and kidney transplant. This report demonstrates a rare etiology of TMA in a kidney allograft occurring in association with PTLD-associated monoclonal gammopathy. The main teaching points are: 1) PTLD may be considered in the work-up of a new TMA in the immunosuppressed post-transplant setting, and 2) a paraprotein-associated condition should be considered as clinically relevant coexistent in a patient with TMA because paraproteins are over-represented in patients with otherwise unexplained TMAs. SN - 2577-5820 UR - https://doi.org/10.21926/obm.transplant.2202160 DO - 10.21926/obm.transplant.2202160 ID - Yu2022 ER -