Publications by authors named "Julia Fijo"
Article Synopsis
- * A study analyzed the long-term outcomes of 287 pediatric kidney transplant patients over 40 years, noting improved survival rates of both patients and grafts, especially in more recent transplants.
- * Despite these advancements, many adult patients still experience lower educational achievement and other health issues, with only a fraction having stable relationships and children, though they report overall satisfaction with their lives.
Article Synopsis
- aHUS is a rare disease that leads to complications like Thrombotic Microangiopathy (TMA) and chronic kidney disease (CKD), often recurring after kidney transplants due to issues with complement activation caused by genetic factors.
- The case study focuses on a female patient who developed aHUS at 3 months old, leading to end-stage kidney disease within a year, and carries a significant genetic predisposition for the disease.
- After undergoing a kidney transplant in 2011, her graft had no genetic markers linked to aHUS recurrence, resulting in unexpectedly positive outcomes, suggesting that the absence of these markers may reduce the risk of aHUS returning post-transplant.
Introduction: Type III Bartter syndrome (BS) is an autosomal recessive renal tubule disorder caused by loss-of-function mutations in the CLCNKB gene, which encodes the chloride channel protein ClC-Kb. In this study, we carried out a complete clinical and genetic characterization in a cohort of 30 patients, one of the largest series described. By comparing with other published populations, and considering that 80% of our patients presented the p.
View Article and Find Full Text PDFRenal transplantation is the treatment of choice for children with ESRD offering advantages of improved survival, growth potential, cognitive development, and quality of life. The aim of our study was to compare the outcomes of LDKT vs DDKT performed in children at a single center. Retrospective chart review of pediatric patients who underwent kidney transplantation from 2005 to 2014 was performed.
View Article and Find Full Text PDFBackground: Dense-deposit disease (DDD) is a rare glomerulopathy characterized by electron-dense deposits in the glomerular basement membrane. About 50 % of patients with DDD progress to end-stage kidney disease and require dialysis within 10 years of diagnosis, and the disease often recurs after renal transplantation.
Case-diagnosis/treatment: We describe a 14-year-old girl with recurrent DDD in her transplanted kidney.
The p.Ala204Thr mutation (exon 7) of the CLCNKB gene is a "founder" mutation that causes most of type III Bartter syndrome cases in Spain. We performed genetic analysis of the CLCNKB gene, which encodes for the chloride channel protein ClC-Kb, in a cohort of 26 affected patients from 23 families.
View Article and Find Full Text PDFArticle Synopsis
- Infections are a significant concern for pediatric renal transplant (RT) recipients, with over half experiencing at least one infection during the first two years post-transplant.
- The study found that the most common type of infection was urinary tract infections (UTIs), with a notable prevalence of antibiotic-resistant bacteria (ESBL producers).
- A key risk factor identified for these infections was a longer cold ischemia time of over 800 minutes, suggesting that minimizing this time may help reduce infection rates.
Background: Chronic humoral rejection is a progressive form of graft injury, with defined diagnostic criteria, the crucial one being the evidence of circulating anti-donor antibodies. These antibodies are mainly directed against human leucocyte antigens (HLA), but other targets have also been described. We previously reported that antibodies against the Glutathione S-transferase T1 (GSTT1) enzyme appear in recipients without the GSTT1 gene who receive a graft from a GSTT1-positive donor.
View Article and Find Full Text PDFWe analyzed the frequency of vesicoureteral reflux and the factors that favor its appearance after kidney transplantation in pediatric patients. This retrospective analysis examined the prevalence of post-transplant vesicoureteral reflux in a total of 181 kidney transplants performed in children at our center between 1978 and 2004. In patients who required corrective surgery for this problem, we analyzed pretransplant residual diuresis, pretransplant pathology and post-transplant problems related to vesicoureteral reflux.
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