POSTTRANSPLANTATION LYMPHOPROLIFERATIVE DISORDER IN A RENAL-ALLOGRAFTRECIPIENT

As a complication of immunosuppressive therapy, solid organ and bone m arrow transplant recipients have an increased risk of developing post transplant lymphoproliferative disorder (PTLD). Epstein-Barr virus (EB V) infection and the degree of immunosuppression have been identified as risk factors for the development of this complication, The clinical presentation includes a spectrum of disorders ranging from a benign i nfectious mononucleosis-like syndrome with fever and cervical adenopat hy to multiorgan failure leading to death, Although, T-cell lesions ha ve been described, PTLD is usually associated with a polyclonal or mon oclonal B-cell proliferation, In this report, we present a renal trans plant recipient with a perirenal mass diagnosed as PTLD. (C) 1997 by t he National Kidney Foundation, Inc.