No Recent Rejection Episodes in Medicine / Internal Medicine — 45yo Man | Nephrology | SMLE Q#18621
SMLE Question #18621
Medicine / Internal Medicine
Nephrology
Objective: OBJ-NEPH-IMMUNOSUPP-ADVERSE-01
Last updated: February 2026
A 45-year-old man is seen 4 months after a kidney transplant for progressive gum swelling and bleeding when brushing. His graft function has been stable with no recent rejection episodes. Current medications include prednisone, mycophenolate mofetil, and a calcineurin inhibitor as part of maintenance immunosuppression. Oral examination shows diffuse gingival enlargement with easy bleeding. Which medication is the most likely cause of this finding?
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