Shiga toxin-associated hemolytic uremic syndrome: absence of recurrence after renal transplantation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-08-10

AUTHORS

Jorge R. Ferraris, Jose A. Ramirez, Susana Ruiz, María G. Caletti, Graciela Vallejo, Juan J. Piantanida, Jose L. Araujo, Ernesto T. Sojo

ABSTRACT

. We evaluated the relationship between the acute phase and the development of end-stage renal disease (ESRD) and the outcome of renal transplant in patients with Shiga toxin-associated hemolytic uremic syndrome (Stx-HUS). A 20-year retrospective study was performed of 66 renal transplants in 62 patients with Stx-HUS compared with 189 renal allografts in 178 children with other diseases. Of 62 patients, 61 had >7 days of oliguria during the acute phase. Stx-HUS patient survival was not different from controls (92% vs. 83% 15 years after renal transplantation). In the cyclosporine (CsA) era, survival of grafts from living related (LRD) and cadaver (CD) donors in Stx-HUS and control patients was 83% versus 70% (P<0.03) and 77% versus 49% (P<0.05) at 10 years. Graft survival in Stx-HUS and dysplasia/obstructive uropathy patients was 79% versus 76% (P=NS), but it was different from that of other diseases (79% vs. 58%, P<0.001). There was no clinical or histopathological evidence of Stx-HUS recurrence. In conclusion, in Stx-HUS patients the duration of the acute oliguric period was a good predictor for the progression to ESRD. Use of CsA and the absence of recurrence of the disease influenced the excellent prognosis in Stx-HUS patients after renal transplantation. The development of ESRD in Stx-HUS could be mediated by non-immunological factors. More... »

PAGES

809-814

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00467-002-0936-9

DOI

http://dx.doi.org/10.1007/s00467-002-0936-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1007297437

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12376808


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