Maximizing the clinical outcome with mTOR inhibitors in the renal transplant recipient: defining the role of calcineurin inhibitors

2004 ◽  
Vol 17 (6) ◽  
Author(s):  
Bj�rn Nashan
2004 ◽  
Vol 97 (2) ◽  
pp. c35-c40 ◽  
Author(s):  
G.V. Ramesh Prasad ◽  
Michelle M. Nash ◽  
Philip A. McFarlane ◽  
Jeffrey S. Zaltzman

2000 ◽  
Vol 57 (5) ◽  
pp. 2144-2150 ◽  
Author(s):  
Shannon E. Doyle ◽  
Arthur J. Matas ◽  
Kristen Gillingham ◽  
Mark E. Rosenberg

2012 ◽  
Vol 2 (1) ◽  
pp. 63-65 ◽  
Author(s):  
Md Tariful Hoque ◽  
Palash Mitra ◽  
Tasrina Shamnaz Samdani ◽  
Golzar Hossain ◽  
Zainal Abedin ◽  
...  

Acute tubular necrosis (ATN) is a medical condition involving damage of the tubular cells of the nephron following a toxic or ischaemic injury. If the cause of ATN is removed then recovery is likely. Calcineurin inhibitors (ciclosporin & tacrolimus) are used as immunosuppressive agents in renal transplant recipient. But either of these two drugs can cause acute nephrotoxicity. A 62 years old known diabetic, hypertensive & ESRD patient after undergoing living related donor renal transplantation started passing significant amount of urine, but 12 hrs after transplantation the amount of urine output started to decrease and the patient became anuric after 17hrs of transplantation. Immediately the patient was evaluated thoroughly and calcineurin inhibitor (tacrolimus) was witheld. The patient again started passing urine from 4th POD. DOI: http://dx.doi.org/10.3329/birdem.v2i1.12365 Birdem Med J 2012; 2(1) 63-65


2015 ◽  
Vol 9 (2) ◽  
pp. 77-78
Author(s):  
Rohan Jaju ◽  
Mukund Andankar ◽  
Umesh Oza ◽  
R.K. Garg ◽  
Jamal Azmi ◽  
...  

1999 ◽  
Vol 67 (7) ◽  
pp. S157
Author(s):  
R K Sharma ◽  
K M Sahu ◽  
A Gupta ◽  
S Gulati ◽  
D K Agarwal ◽  
...  

2018 ◽  
Vol 11 (1) ◽  
pp. e226707 ◽  
Author(s):  
Eswari Vilayur ◽  
Jillian de Malmanche ◽  
Paul Trevillian ◽  
David Ferreira

Thrombotic microangiopathy (TMA) after renal transplantation can be a diagnostic challenge. TMA can occur with calcineurin inhibitors, allograft rejection, infection, mutations in complement regulatory proteins and autoimmunity. A 52-year-old male renal transplant recipient presented with extensive deep vein thrombosis. He developed transfusion-dependent microangiopathic haemolytic anaemia with thrombocytopenia. He did not respond calcineurin inhibitor cessation, eculizumab or plasma exchange. ADAMTS13 and complement levels were normal. Infection and autoimmune screens were negative. A diagnosis of metastatic adenocarcinoma was made on bone marrow biopsy. This represents a rare case of malignancy-associated TMA in a renal transplant recipient. Early diagnosis can facilitate the prompt initiation of chemotherapy which is the only treatment option.


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