Fig. 1From: Successful treatment of recurrent immunoglobulin a nephropathy using steroid pulse therapy plus tonsillectomy 10 years after kidney transplantation: a case presentationFirst episode biopsy was performed 8 years after transplantation. Light microscopy showed no evidence of rejection. (a) A segmental mesangial hypercellularity can be seen. (b) An immunofluorescence study showed mild-to-moderate positivity in the mesangial area for IgA. Positivity for IgM and C3 was also seen (not shown). (c) An arteriolar hyalinosis caused by CNI nephrotoxicity was remarkable. (d)Two branches of severe arteriolar hyalinosis seemed to develop global glomerular sclerosisBack to article page