A 56-year-old African @entity1 received a kidney from a deceased donor with 4 HLA mismatches in April 2013. He received immunosuppression with basiliximab, @entity1140 , @entity618 , and @entity229 . Immediate diuresis and a good allograft function were soon observed. Six months later, the serum @entity1011 level increased to 2.6   mg/dL. A renal allograft biopsy revealed @entity82 and tubular atrophy grade II. @entity137 of @entity9909 was assumed and, after a switch for @entity2239 , renal function improved. However, since March 2014, renal function progressively deteriorated. A second allograft biopsy showed no new lesions. Two months later, the @entity1 was admitted due to @entity1696 , haematochezia with @entity417 , requiring 5 units of packed red blood cells, and diffuse skin thickening. Colonoscopy showed @entity548 patches in the colon and the rectum; histology diagnosis was @entity2826 ( @entity2826 ). A skin biopsy revealed cutaneous involvement of @entity2826 . Rapid clinical deterioration culminated in death in June 2014. This case is unusual as less than 20 cases of @entity2826 with gross @entity360 have been reported and only 6 cases had the referred bleeding originating in the lower gastrointestinal tract. So, @entity2826 should be considered in differential diagnosis of @entity360 in some kidney transplant @entity1 .

XXXX and Diffuse Skin Thickening as Kaposi Sarcoma Clinical Presentation.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2826 :: ('MESH:D012514', 'Disease') :: ['KS', 'Kaposi sarcoma'] @entity82 :: ('MESH:D005355', 'Disease') :: ['interstitial fibrosis'] @entity137 :: ('MESH:D064420', 'Disease') :: ['Toxicity'] @entity417 :: ('MESH:D000740', 'Disease') :: ['anaemia'] @entity548 :: ('MESH:D006470', 'Disease') :: ['haemorrhagic'] @entity229 :: ('MESH:D011241', 'Chemical') :: ['prednisone'] @entity9909 :: ('23523', 'Gene') :: ['calcineurin inhibitor'] @entity2239 :: ('MESH:C107135', 'Chemical') :: ['everolimus'] @entity618 :: ('MESH:C063008', 'Chemical') :: ['mycophenolate mofetil'] @entity1696 :: ('MESH:D001002', 'Disease') :: ['anuria'] @entity1140 :: ('MESH:D016559', 'Chemical') :: ['tacrolimus'] @entity1011 :: ('MESH:D003404', 'Chemical') :: ['creatinine'] @entity360 :: ('MESH:D006471', 'Disease') :: ['gastrointestinal bleeding']
@entity360 :: (MESH:D006471,Disease) :: ['Gastrointestinal Bleeding']
