A 25-year-old man with renal failure secondary to systemic lupus erythematosus (SLE) received a kidney from his identical twin five years after onset of the first twin's symptoms of lupus. Both continue to do well. To our knowledge, there are no other reports of kidney transplantation in monozygotic twins discordant for SLE.
Zonnebelt SM, Belzer FO. Kidney Transplantation in Monozygotic Twins Discordant for Lupus. JAMA. 1981;245(1):68-69. doi:10.1001/jama.1981.03310260046030