Latest Blogs

NEW - Transplant Online Course

Transplantation Online Course (TOC)

Brand new 6 month online course in renal transplantation -> the OLA TOC

  • a faculty of 10 experts
  • 31 brand new, up-to-date video lectures
  • more than 110 questions and cases studies
  • a focus on reflective practice and critical appraisal of literature
  • discussion and tutoring via OLA forum and Facebook microsite

  • 65 70 78 students have just started. THIS COURSE CLOSED
  • email us for details of the next course after you have signed up to OLA

Case of the Month

  July 2015

A middle-aged man presents with a skin eruption on his scalp, neck, ear and upper back (see picture). He is also known to have Diabetes Mellitus and Hypertension for the past 10 years. Diagnosed as CKD secondary to diabetic nephropathy 2 years ago. He underwent pre-emptive renal transplantation 2 months ago. He had an uneventful recovery and was discharged with a stable creatinine of 1.6mg/dl, on Cyclosporine + MMF + Prednisolone. No induction therapy was given. He did not suffer any rejection episodes in the past 2 months. The only other problem was poorly controlled blood sugar level despite being on insulin.

The patient is otherwise all right, afebrile and has no other complaints.

Current laboratory values are:

Hb 11.8.
TLC 6500.
Platelets 240000
Urea 45mg/dl.
Creatinine 1.6 mg/dl
ALT 35 IU/L
Random Blood Sugar 210 mg/dl
Urine R/E is Normal
CXR is unremarkable.

 

What is the most probable diagnosis?

Read: 224 times Answered: 53 times Top score: 100%

Current Discussions

    • MOUNA's Avatar
    • Therapeutic hypothermia for de...
    • Hypothermia in donors decreased the rate of delayed graft function in recipients particularly from expanded-criteria donors. This procedure should be reserved for these high-risk donors?
    • 1 day 11 hours ago
    • zaindn75's Avatar
    • Therapeutic hypothermia for de...
    • Thanks alot dr khawaja My quastion, if there is any role of hypothermia in the living donor to decreasa DGF ?.
    • 2 days 8 hours ago
    • Dr.Essam's Avatar
    • AVOID HF or not?
    • Iman Nour: Tاank u for the reply. Sorry,another question: Is UF principal different from isolated UF option in conventional HD machines? 'Cause there was an old concept that in hypotensive patients...
    • 6 days 2 hours ago

OLA activity