How would you treat a kidney transplant patient with both biopsy-proven BK nephropathy and recurrent membranous glomerulonephritis with nephrotic range proteinuria?  

This can be a challenging situation. The risk of graft loss is greater from the BK Nephropathy so would address this first. The first premise of treatment is reduction in immunosuppression, in a step wise fashion would decreae the mycophenolate followed by reduced targets for calcineurin inhibitor l...