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We report a case of 10\u2010year\u2010old boy with compound heterozygous Fin\u2010major Finnish\u2010type congenital nephrotic syndrome, who had received a deceased\u2010donor kidney transplant 5\u00a0years before onset of acute kidney injury and nephrotic range proteinuria without hematuria. Kidney allograft biopsy illustrated 6 glomeruli with global sclerosis and 6 with remarkable circumferential or segmental cellular crescents. Negative glomerular immunofluorescence for immune\u2010complex deposits and the absence of serum ANCA eliminated the presence of immune\u2010mediated and ANCA\u2010positive pauci\u2010immune crescentic glomerulonephritis. Diagnosis of ABMR was based on the high levels of HLA class II DSA and the histological evidence of glomerulitis, peritubular capillaritis, and acute tubular injury with positive linear peritubular capillary C4d staining. The patient despite plasmapheresis and enhanced immunosuppressive treatment progressed to end\u2010stage renal disease. We conclude that glomerular crescents may represent a finding of AMBR and possibly a marker of poor allograft prognosis in pediatric patients.<\/jats:p>","DOI":"10.1111\/petr.13722","type":"journal-article","created":{"date-parts":[[2020,5,21]],"date-time":"2020-05-21T13:00:48Z","timestamp":1590066048000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Antibody\u2010mediated rejection with the presence of glomerular crescents in a pediatric kidney transplant recipient: A case report"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3638-5179","authenticated-orcid":false,"given":"Vasiliki","family":"Karava","sequence":"first","affiliation":[{"name":"Pediatric Nephrology Department Panagiotis &amp; Aglaia Kyriakou Children's Hospital Athens 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