Attempted treatment of factor H deficiency by liver transplantation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-04

AUTHORS

Hae Il Cheong, Byong Sop Lee, Hee-Gyung Kang, Hyewon Hahn, Kyung-Suk Suh, Il Soo Ha, Yong Choi

ABSTRACT

Complement factor H (FH) deficiency is one of the causes of atypical hemolytic uremic syndrome (HUS). Most patients with FH deficiency associated HUS progress to end-stage renal disease despite plasma therapy. Moreover, the disease invariably recurs in the graft kidney and causes graft failure. We confirmed FH deficiency in a 30-month-old boy with recurrent HUS of 2 years duration, and attempted an auxiliary partial orthotopic liver transplantation (APOLT) to overcome the sustained intractable dependency on plasma therapy. APOLT restored the plasma FH level, without HUS recurrence, for 7 months. However, thereafter he suffered from serious infectious complications associated with immunosuppression and finally died 11 months after APOLT. In conclusion, although APOLT showed clinical and laboratory improvement for some period in this patient, the final fatal outcome suggests that liver transplantation should be cautiously applied to patients with HUS associated with FH deficiency. More... »

PAGES

454-458

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00467-003-1371-2

DOI

http://dx.doi.org/10.1007/s00467-003-1371-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1031866227

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/14986080


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