An analysis of transplant glomerulopathy and thrombotic microangiopathy in kidney transplant biopsies

2014 ◽  
Vol 27 (8) ◽  
pp. 784-792 ◽  
Author(s):  
Sreejesh Sreedharanunni ◽  
Kusum Joshi ◽  
Rajan Duggal ◽  
Ritambhra Nada ◽  
Mukut Minz ◽  
...  
2013 ◽  
Vol 27 (4) ◽  
pp. 591-597 ◽  
Author(s):  
Sireesha Koppula ◽  
Sarah E. Yost ◽  
Amy Sussman ◽  
Erika R. Bracamonte ◽  
Bruce Kaplan

2020 ◽  
Vol 2 (5) ◽  
pp. 652-656 ◽  
Author(s):  
Amandeep Godara ◽  
Daniel R. Migliozzi ◽  
Monika Pilichowska ◽  
Nitender Goyal ◽  
Cindy Varga ◽  
...  

2020 ◽  
Vol 5 (6) ◽  
pp. 915-920
Author(s):  
Manish Talwar ◽  
Vasanthi Balaraman ◽  
Anshul Bhalla ◽  
Orsolya Cseprekal ◽  
Masahiko Yazawa ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Tracey Salter ◽  
Hannah Burton ◽  
Sam Douthwaite ◽  
William Newsholme ◽  
Catherine Horsfield ◽  
...  

Hepatitis B virus (HBV) presents a risk to patients and staff in renal units. To minimise viral transmission, there are international and UK guidelines recommending HBV immunisation for patients commencing renal replacement therapy (RRT) and HBV surveillance in kidney transplant recipients. We report the case of a 56-year-old male who was immunised against HBV before starting haemodialysis. He received a deceased donor kidney transplant three years later, at which time there was no evidence of HBV infection. After a further six years he developed an acute kidney injury; allograft biopsy revealed an acute thrombotic microangiopathy (TMA) with glomerulitis, peritubular capillaritis, and C4d staining. Due to a “full house” immunoprofile, tests including virological screening were undertaken, which revealed acute HBV infection. Entecavir treatment resulted in an improvement in viral load and kidney function. HBV genotyping demonstrated a vaccine escape mutant, suggesting “past resolved” infection that reactivated with immunosuppression, though posttransplant acquisition cannot be excluded. This is the first reported case of acute HBV infection associated with immune complex mediated glomerulonephritis and TMA. Furthermore, it highlights the importance of HBV surveillance in kidney transplant recipients, which although addressed by UK guidelines is not currently practiced in all UK units.


2015 ◽  
Vol 9 (4) ◽  
pp. 155-158
Author(s):  
Cengiz Bulut ◽  
Ebru Gok Oguz ◽  
Basol Canbakan ◽  
Deniz Ayli

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