Rejection and graft outcomes in kidney transplant recipients with and without angiotensin II receptor type 1 antibodies.

Aim: Angiotensin II type 1 receptor antibody (AT1R Ab) is a non-Human Leucocyte Antigen (HLA) antibody that is maybe associated with early severe kidney transplant rejection and worse graft outcomes. This study aimed to assess the association between AT1R Ab and kidney transplant rejection and graft outcomes.

Methods: We performed a retrospective analysis of all adult kidney transplant recipients in an Australian centre who had an AT1R Ab test between 1 January 2015 to 30 June 2020.

Protocol and establishment of a Queensland renal biopsy registry in Australia.

Background: Renal biopsy is often required to obtain information for diagnosis, management and prognosis of kidney disease that can be broadly classified into acute kidney injury (AKI) and chronic kidney disease (CKD). The most common conditions identified on renal biopsy are glomerulonephritis and tubulo-interstitial disorders. There is a paucity of information on management strategies and therapeutic outcomes in AKI and CKD patients.

Acute Tubulointerstitial Nephritis as a Sole Manifestation of Immunoglobulin G4-Related Disease.

This is a case report of a patient who developed severe acute kidney disease with kidney biopsy showing interstitial nephritis, plasma cell infiltration and immunoglobulin G4 (IgG4) expression consistent with IgG4-related kidney disease. There were no other systemic features of IgG4-related disease. The patient was treated with corticosteroids and mycophenolate.

Neurogenic pulmonary oedema secondary to vertebral artery dissection while playing tennis.

We present a case of a patient who developed vertebral artery dissection (VAD) while playing tennis and presented with neurogenic pulmonary oedema. The case highlights two important points: acute pulmonary oedema as an unusual presenting feature of VAD and VAD, an important cause of stroke in young people, as being associated with playing low-impact sports such as tennis. These associations, independent of each other, are under-recognised and can lead to a delay in diagnosis.

Risk factors for general medicine readmissions and association with mortality.

Aims: To investigate general medicine readmissions for risk factors and association with mortality.

Method: A case control study was performed comparing the characteristics of 30-day general medicine patients readmitted between 1 January to 30 June 2012 to a general medicine service at Capital and Coast District Health Board (Wellington region, New Zealand) with an equal number of randomly selected patients not readmitted to the service during the same time period.

Results: 197 patients discharged from general medicine were readmitted during the 6-month study period.