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Previous Volume 340:1372 April 29, 1999 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: A 37-year-old man with insulin-dependent diabetes mellitus complicated by end-stage renal disease who had received a second cadaveric kidney transplant four years earlier presented with symptomatic splenomegaly, progressive anemia, prolonged fever, dysphagia, and weight loss. Owing to chronic rejection of his kidney transplant, he required intensive immunosuppressive therapy consisting of tacrolimus, mycophenolate mofetil, and prednisone. The first kidney transplant, as well as a pancreatic transplant, had been lost because of acute rejection, seven and three years previously, respectively.

Abdominal computed tomography performed on admission revealed splenomegaly with a subcapsular hematoma. Analysis of a bone marrow aspirate revealed . . . [Full Text of this Article]

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