Figure 3.

Immunosuppression regimen for the patient. Initial regimen included methylprednisolone 1 g IV every 24 hours given for 3 doses. Week 1 regimen included tacrolimus with a goal trough of 12 to 15, mycophenolate mofetil 1000 mg BID, and prednisone taper starting at 60 mg daily. Once tacrolimus was at goal, mycophenolate mofetil was discontinued. Tacrolimus trough was stable for the first 4 months, but after developing complications, the goal trough was gradually decreased to 4 to 6. Prednisone was weaned from a starting dose of 60 mg daily to 5 mg daily. He remains on tacrolimus and prednisone at 10 months after diagnosis.