1. Interpretation of LDH Values after Kidney Transplantation.
- Author
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Sándor, Zoltán, Katics, Dorottya, Varga, Ádám, Kalmár Nagy, Károly, and Szakály, Péter
- Subjects
KIDNEY transplantation ,RED blood cell transfusion ,KIDNEY diseases ,CHRONIC kidney failure ,LACTATE dehydrogenase ,POSTOPERATIVE period - Abstract
Kidney transplantation is the gold-standard therapy for end-stage renal disease. However, in the early postoperative period following allograft kidney transplantation, insufficient graft function presents a diagnostic challenge to clinicians. Ischemic damage to the graft and/or an early autoimmune rejection may cause a decrease in function. Ischemic damage is a benign and transient condition, while acute immune rejection requires immediate therapy. A kidney graft ultrasound may produce a false negative result, and graft biopsy is invasive and slow to return results. Serum lactate dehydrogenase (LDH) is under examination as a possible tool for differential diagnosis between ischemic damage and immune rejection. Herein, we analyze the continuous lab results of four patients in the early post-transplantation period, showing patterns correlating with different clinical outcomes and prognoses. In our experience, a persistent elevated LDH accompanies ischemic damage. Immune rejection was, however, associated with a decrease in LDH. Hemodialysis was not a confounding factor, while packed red blood cell transfusion caused severe diagnostic problems. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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