대한신장학회

간행물 검색

현재 페이지 경로

논문분류	춘계학술대회 초록집
제목	A Case of Suspicious Humoral Rejection associated with Established Cellular Rejection in Renal Transplant Recipient
저자	Soo Young Kim1, Joung Wook Yang1, Jin Wook Lee1, Ye Na Kim1, Ho Sik Shin1, Yeon Soon Jung1, Hark Rim1, Hyun Yul Rhew2
출판정보	2015; 2015(1):
키워드	신이식,세포성 거부반응,항체매개성 거부반응
초록	Antibody-mediated rejection (ABMR) in kidney transplant recipients is mediated by donor-specific antibodies. It is the major cause of graft failure in noncompliant patients and is associated with reduced long-term graft survival. We report a case of suspicious humoral rejection associated with established cellular rejection in a renal transplant recipient. A 34- year-old female on triple-drug maintenance immunosuppression (tacrolimus, mycophenolate, prednisolone) developed azotemia after kidney transplantation. Kidney biopsy revealed that numerous peritubular capillaries in the medulla were congested and dilated and demonstrated mononuclear inflammatory cells and PMNLs, some of which were found along the vessel wall. The interstitium showed patches and/or sheets of mononulcear inflammatory cells, with a few lymphocytes in the tubular epithelial cells. We began steroid pulse therapy, and serum creatinine decreased gradually and returned to baseline.
원문(PDF)	PDF 원문보기

간행물 검색