학술논문
A CASE OF SUCCESSFUL RECOVERY OF RENAL ALLOGRAFT FUNCTION FOLLOWING A DIAGNOSIS OF THROMBOTIC MICROANGIOPATHY CLINICALLY MADE IN THE IMMEDIATE POST-TRANSPLANT PERIOD / 腎移植後早期に臨床的に血栓性微小血管障害と診断し移植腎機能を救済し得た1例
Document Type
Journal Article
Author
Akira Nagahara; Atsunari Kawashima; Hiroshi Kiuchi; Kazutoshi Fujita; Motohide Uemura; Naotsugu Ichimaru; Norio Nonomura; Ryoichi Imamura; Shinichiro Fukuhara; Takeshi Ujike; Tetsuo Maeda; Toyofumi Abe; Yasushi Miyagawa; Yoichi Kakuta; Yujiro Hayashi; 今村 亮一; 前田 哲生; 宮川 康; 市丸 直嗣; 木内 寛; 林 裕次郎; 植村 元秀; 氏家 剛; 永原 啓; 河嶋 厚成; 福原 慎一郎; 藤田 和利; 角田 洋一; 野々村 祝夫; 阿部 豊文
Source
日本泌尿器科学会雑誌 / The Japanese Journal of Urology. 2017, 108(3):166
Subject
Language
Japanese
ISSN
0021-5287
1884-7110
1884-7110
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.