WCN25-202 POST TRANSPLANT RECURRENCE OF MPGN WITH GRAFT LIMITED MONOCLONAL DISEASE- A UNIQUE ENTITY

Membrano Proliferative Glomerulonephritis (MPGN) remains an enigmatic disease with an elusive etiological work up . Advances in understanding the disease's pathogenesis have led to a revised classification, moving away from the traditional types I, II, and III. Comprehensive workup for auto immune, infectious and monoclonal association is often productive ,however the monoclonal disease may sometimes be cryptic or an evolving problem that fails to be unmask during workup. This makes renal transplantation in such a case a tough nut to crack .