Low-grade proteinuria consists mostly of non-albumin proteins, whereas high-grade proteinuria consists mostly of albumin; pathohistological studies in transplant recipients reported mostly interstitial fibrosis and tubular atrophy in those with low grade proteinuria, and glomerular disease in the majority of allograft biopsies with high-grade proteinuria [3, 11]. Here, ALB is linked to glomerular disorder.