2013, Number 2
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Rev Mex Traspl 2013; 2 (2)
Recurrent glomerular diseases in renal transplant
Merino-López M, Morales-Buenrostro LE
Language: Spanish
References: 84
Page: 64-72
PDF size: 232.17 Kb.
ABSTRACT
Renal transplantation remains the best treatment option for patients with end stage renal disease in most cases. Although the improvement in the receptor’s quality of life, the renal transplant is not a cure; the knowledge of the end stage renal disease’s cause is important because all forms of glomerular disease can recur after transplantation. The likelihood of recurrence and severity is different according to type. The impact of the recurrence in the long term graft outcome is because it is the third most important cause of renal allograft loss. The knowledge in risk factors and the pathogenesis in the recurrent glomerulonephritis is huge, but there is a limitation in the accuracy of the diagnosis before transplantation. Sometimes a substantial proportion of patients after transplantation with chronic progression are misdiagnosed and a diagnosis of chronic allograft nephropathy is sometimes presumed, resulting in a huge variability in published frequencies. In this review, we describe the more frequently post-transplant recurrent glomerulonephritis, as well as basic aspects of their pathogenesis, risk factors and treatment proposed by the entity. It should be noted that current evidence is limited, mostly to case series.
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