Recurrence of ANCA-positive glomerulonephritis immediately after renal transplantation

被引：16
作者：
Lobbedez, T [1 ]
Comoz, F [1 ]
Renaudineau, E [1 ]
Pujo, M [1 ]
Ryckelynck, JP [1 ]
de Ligny, BH [1 ]
机构：
[1] Caen Univ Hosp, Nephrol & Pathol Dept, Caen, France
来源：
AMERICAN JOURNAL OF KIDNEY DISEASES | 2003年 / 42卷 / 04期
关键词：
kidney transplantation; crescentic necrotizing glomerulonephritis; antineutrophil cytoplasmic autoantibody (ANCA); plasma exchange;
D O I：
10.1053/S0272-6386(03)00917-X
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Recurrence of crescentic necrotizing glomerulonephritis after renal transplantation is rare. Successful renal transplantation in patients with antineutrophil cytoplasmic autoantibody (ANCA) glomerulonephritis has been reported. The presence of ANCA at transplantation does not appear to increase the rate of relapse after kidney allografting. Therapy with cyclophosphamide and corticoids usually is effective. We report a case of recurrent perinuclear ANCA crescentic necrotizing glomerulonephritis immediately after renal transplantation that was treated successfully by cyclophosphamide, plasma exchange, and intravenous polyvalent immunoglobulin.
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共 22 条
  • [1] Biopsy-proven resolution of immune complex-mediated crescentic glomerulonephritis with mycophenolate mofetil therapy in an allograft
    Adams, PL
    Iskandar, SS
    Rohr, MS
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 1999, 33 (03) : 552 - 554
  • [2] De novo ANCA-associated vasculitis occurring 14 years after kidney transplantation
    Asif, A
    Toral, C
    Diego, J
    Miller, J
    Roth, D
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 2000, 35 (03) : art. no. - e10
  • [3] RENAL ISCHEMIA-REPERFUSION INJURY CONTRIBUTES TO RENAL DAMAGE IN EXPERIMENTAL ANTI-MYELOPEROXIDASE-ASSOCIATED PROLIFERATIVE GLOMERULONEPHRITIS
    BROUWER, E
    KLOK, PA
    HUITEMA, MG
    WEENING, JJ
    KALLENBERG, CGM
    [J]. KIDNEY INTERNATIONAL, 1995, 47 (04) : 1121 - 1129
  • [4] Renal transplantation in patients with microscopic polyarteritis and antimyeloperoxidase antibodies: Report of three cases
    Frasca, GM
    Neri, L
    Martello, M
    Sestigiani, E
    Borgnino, LC
    Bonomini, V
    [J]. NEPHRON, 1996, 72 (01): : 82 - 85
  • [5] Early renal allograft loss in a patient with crescentic glomerulonephritis in the native kidney
    Gross, M
    Zand, MS
    Nadasdy, T
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 2001, 37 (01) : 202 - 209
  • [6] CLINICAL COURSE OF PATIENTS WITH ANTINEUTROPHIL CYTOPLASM ANTIBODY-POSITIVE VASCULITIS AFTER KIDNEY-TRANSPLANTATION
    GROTZ, W
    WANNER, C
    ROTHER, E
    SCHOLLMEYER, P
    [J]. NEPHRON, 1995, 69 (03): : 234 - 236
  • [7] CORTICOSTEROIDS PLUS PULSE CYCLOPHOSPHAMIDE AND PLASMA EXCHANGES VERSUS CORTICOSTEROIDS PLUS PULSE CYCLOPHOSPHAMIDE ALONE IN THE TREATMENT OF POLYARTERITIS-NODOSA AND CHURG-STRAUSS-SYNDROME PATIENTS WITH FACTORS PREDICTING POOR-PROGNOSIS - A PROSPECTIVE, RANDOMIZED TRIAL IN 62 PATIENTS
    GUILLEVIN, L
    LHOTE, F
    COHEN, P
    JARROUSSE, B
    LORTHOLARY, O
    GENEREAU, T
    LEON, A
    BUSSEL, A
    [J]. ARTHRITIS AND RHEUMATISM, 1995, 38 (11): : 1638 - 1645
  • [8] Guillevin L, 1997, ANN MED INTERNE, V148, P198
  • [9] Gulati M S, 1999, Am J Kidney Dis, V33, pE9, DOI 10.1016/S0272-6386(99)70330-6
  • [10] Hourmant M, 1999, NEPHROLOGIE, V20, P371
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