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001-es BibID:BIBFORM061592
Első szerző:Elmahi, Nadear (orvos)
Cím:Residual renal function in peritoneal dialysis with failed allograft and minimum immunosuppression / Nadear Elmahi, Éva Csongrádi, Kenneth Kokko, Jack R. Lewin, Jamie Davison, Tibor Fülöp
Dátum:2013
ISSN:2220-3230
Megjegyzések:Immunosuppression (IS) is often withdrawn in patientswith end stage renal disease secondary to a failed renalallograft, and this can lead to an accelerated loss ofresidual renal function (RRF). As maintenance of RRFappears to provide a survival benefit to peritoneal dialysis(PD) patients, it is not clear whether this benefit ofmaintaining RRF in failed allograft patients returning toPD outweigh the risks of maintaining IS. A 49 year-oldCaucasian male developed progressive allograft failurenine years after living-donor renal transplantation. Hemodialysiswas initiated via tunneled dialysis catheter(TDC) and IS was gradually withdrawn. Two weeksafter IS withdrawal he developed a febrile illness,which necessitate removal of the TDC and conversionto PD. He was maintained on small dose of tacrolimus(1 mg/d) and prednisone (5 mg/d). Currently (1 yearlater) he is doing exceedingly well on cycler-assisted PD.Residual urine output ranges between 600-1200 mL/d.Total weekly Kt/V achieved 1.82. RRF remained wellpreserved in this patient with failed renal allograft withminimal immunosuppressive therapy. This strategy willneed further study in well-defined cohorts of PD patientswith failed allografts and residual RRF to determineefficacy and safety.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:World Journal of Transplantation. - 3 : 2 (2013), p. 26-29. -
További szerzők:Csongrádi Éva (1969-) (szakorvos) Kokko, Kenneth (orvos) Lewin, Jack R. Davison Jamie (orvos) Fülöp Tibor (1957-) (kardiológus)
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