Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation · 2017
Isolated V-Lesion in an ABO-Incompatible Kidney Transplant Recipient Receiving Rituximab.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Iwai Tomoaki, Uchida Junji, Kabei Kazuya, Nishide Shunji, Kuwabara Nobuyuki, Naganuma Toshihide, Kumada Norihiko, Takemoto Yoshiaki, Nakatani Tatsuya
Аннотация
We report an ABO-incompatible kidney transplant performed on a 69-year-old female patient, whose donor was her 69-year-old husband. The patient received an immunosuppressive protocol using rituximab without splenectomy. Renal biopsy was done on posttransplant day 8 due to poor early graft function, and an isolated v-lesion was found, which responded to steroid pulse therapy and gusperimus hydrochloride administration. Our results indicate that isolated v-lesions can occur in ABO-incompatible kidney transplant recipients receiving rituximab and that this finding should be treated as acute rejection. To our knowledge, this is the first report of an isolated v-lesion in an ABO-incompatible kidney transplant recipient who had been administered rituximab.