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Posttransplant diabetes mellitus is a well-recognized complication of renal transplantation. Although such patients are at risk for the development of de novo diabetic glomerulosclerosis with increasing graft survival, this has rarely been reported. We describe a patient with posttransplant diabetes mellitus who developed end-stage renal failure due to diabetic glomerulosclerosis 12 years after renal transplantation.
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