Galindo P, Ramirez M, Pérez Marfil A, Espigares MJ, Osoria JM, Leiva R, Ruiz Fuentes MC, De Gracia C, Osuna A. Renal Transplant Immunosuppression in Patients With Hemolytic Uremic Syndrome: Four Case Reports.
Transplant Proc 2018;
50:572-574. [PMID:
29579855 DOI:
10.1016/j.transproceed.2017.11.056]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Revised: 10/09/2017] [Accepted: 11/11/2017] [Indexed: 11/26/2022]
Abstract
A high rate of recurrence has been described in atypical hemolytic uremic syndrome renal transplant recipients, favored by certain immunosuppressant drugs that can induce complement activation. We present four case series in which three patients were diagnosed pretransplantation and a fourth who had onset in the very early post-transplantation period. The patients received different immunosuppression schedules, and all had improvement after more than 2-years. We suggest the need to stratify the risk of atypical hemolytic uremic syndrome recurrence using genetic studies and the available drugs as the main factors that allow graft survival improvement today.
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