With time recurrence of IgA nephropathy in renal allografts may be found in
most, if not all patients. However, at the present graft loss due to recur
rent IgA nephropathy appears to be of limited importance as compared to oth
er causes, No definite risk factors for recurrent disease and/or graft fail
ure have been identified yet, Although recurrence rates appear to be higher
in allografts from living related donors, graft loss rates due to IgA neph
ropathy are not significantly different, More important, sporadic cases of
IgA nephropathy should be excluded in all living related donors.