A case of accelerated acute rejection in kidney transplantation rescued by plasma exchange

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Other Title
  • 血漿交換が奏効した生体腎移植術後促進型急性拒絶反応の1例
  • 症例 血漿交換が奏効した生体腎移植術後促進型急性拒絶反応の1例
  • ショウレイ ケッショウ コウカン ガ ソウコウ シタ セイタイジンイショク ジュツゴ ソクシンガタ キュウセイ キョゼツ ハンノウ ノ 1レイ

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Description

A 30-year-old female received living donor kidney transplantation from her mother. The surgical procedure was uneventfully performed and urine output was observed a few minutes after reperfusion. However, 24 hours after the surgery, the urine volume rapidly decreased with worsened renal blood flow as determined by Doppler ultrasonography, diagnosed as accelerated acute rejection (AAR). Plasma exchange (PE) combined with therapies including administration of steroids and OKT3 dramatically improved the renal status, resulting in maintenance of good renal function (serum Cr; 1.5 mg/dl) even after 18 months PE was considered as a powerful tool for AAR, and the literature was reviewed.

Journal

  • Hinyokika Kiyo

    Hinyokika Kiyo 51 (5), 325-329, 2005-05

    泌尿器科紀要刊行会

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