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A CASE OF SUCCESSFUL RECOVERY OF RENAL ALLOGRAFT FUNCTION FOLLOWING A DIAGNOSIS OF THROMBOTIC MICROANGIOPATHY CLINICALLY MADE IN THE IMMEDIATE POST-TRANSPLANT PERIOD

Authors :
Shinichiro Fukuhara
Yasushi Miyagawa
Akira Nagahara
Ryoichi Imamura
Toyofumi Abe
Hiroshi Kiuchi
Yujiro Hayashi
Atsunari Kawashima
Takeshi Ujike
Yoichi Kakuta
Tetsuo Maeda
Naotsugu Ichimaru
Kazutoshi Fujita
Norio Nonomura
Motohide Uemura
Source :
The Japanese Journal of Urology. 108:166-169
Publication Year :
2017
Publisher :
Japanese Urological Association, 2017.

Abstract

A 57-year-old female patient on hemodialysis with chronic renal failure due to chronic glomerular nephritis received deceased donor kidney transplantation. Induction immunosuppressive therapy was combination of tacrolimus, mycophenolate mofetil, everolimus, prednisolone, and basiliximab. She was diagnosed with secondary thrombotic microangiopathy (TMA) by clinical findings such as hemolytic anemia, thrombocytopenia and acute kidney injury not by pathological findings on the 4th post-operative date. Plasma exchange was performed with suspension of tacrolimus. General conditions recovered, and the graft function was preserved.

Details

ISSN :
18847110 and 00215287
Volume :
108
Database :
OpenAIRE
Journal :
The Japanese Journal of Urology
Accession number :
edsair.doi.dedup.....ba503967b89d1072c58b56534127dcaf