Abstract
To the Editor: Case 45–1979 describes a case of membranous glomerulonephritis that presumably arose de novo in a renal allograft. The lesion was assumed to be de novo because the patient had originally had focal glomerulosclerosis, diagnosed by means of renal biopsy, and the alterations of the graft lacked features of the pretransplant biopsy specimen.One day before publication of this Case Record we diagnosed concurrent membranous glomerulonephritis and allograft glomerulonephritis in an allograft biopsy specimen from a patient whose previous disease was also focal segmental glomerulosclerosis. We present our case for comparison.A 35-year-old man was admitted to Hahnemann . . .

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