COMMON CAUSES of renal allograft dysfunction include acute rejection, cyclosporine or FK506 toxicity, acute tubular necrosis, and chronic allograft nephropathy. Important but less frequent causes are recurrent and de novo diseases in the allograft. We report the case of a 66-year-old man who developed renal insufficiency 8 months posttransplantation. A novel cause of renal allograft dysfunction...