Cell-mediated and humoral acute vascular rejection and graft loss: A registry study

Nephrology ◽  
2016 ◽  
Vol 21 (2) ◽  
pp. 147-155 ◽  
Author(s):  
Rachel ZC Teo ◽  
Germaine Wong ◽  
Graeme R Russ ◽  
Wai H Lim
2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Irfan Moinuddin ◽  
Bijin Thajudeen ◽  
Amy Sussman ◽  
Machaiah Madhrira ◽  
Erika Bracamonte ◽  
...  

Acute vascular rejection (AVR) is characterized by intimal arteritis in addition to tubulitis and interstitial inflammation. It is associated with a poorer prognosis compared to tubulointerstitial rejection (AIR) and AVR is associated with a higher rate of graft loss than AIR. The prognosis and treatment of arteritis without tubulitis and interstitial inflammation (isolated v1 lesion) are still controversial. We report a case of a patient who had a biopsy of the kidney allograft for evaluation of slow graft function. The biopsy revealed an isolated v1 lesion. However, we chose not to augment immunosuppression. The patient’s kidney allograft function improved over time with close monitoring. Repeat biopsy a year later showed no evidence of endothelialitis and relatively unchanged fibrosis and no other abnormalities. Although it is suggested that most cases of isolated v1 lesions will respond to corticosteroids or T cell depleting therapies, some cases will improve with conservative management. Further studies are needed to determine which cases could be managed conservatively.


2018 ◽  
Vol 25 (5) ◽  
pp. e12391 ◽  
Author(s):  
Hironosuke Watanabe ◽  
Hisashi Sahara ◽  
Shunichiro Nomura ◽  
Tatsu Tanabe ◽  
Dilrukshi K. Ekanayake-Alper ◽  
...  

1998 ◽  
Vol 30 (7) ◽  
pp. 2963 ◽  
Author(s):  
M Abe ◽  
A Sannomiya ◽  
T Koike ◽  
S Sato ◽  
J Sageshima ◽  
...  

2018 ◽  
Vol 102 ◽  
pp. S313
Author(s):  
Hironosuke Watanabe ◽  
Shunichiro Nomura ◽  
Hisashi Sahara ◽  
Thomas Pomposelli ◽  
Yuichi Ariyoshi ◽  
...  

2003 ◽  
Vol 35 (6) ◽  
pp. 2104-2105 ◽  
Author(s):  
D Dragun ◽  
J.H Bräsen ◽  
C Schönemann ◽  
L Fritsche ◽  
K Budde ◽  
...  

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