AI Article Synopsis
- * 22 months post-transplant, he experienced graft loss due to hemolytic uremic syndrome, linked to poor medicine adherence, resulting in rapid kidney function decline and blood abnormalities.
- * A kidney biopsy revealed thrombotic microangiopathy (TMA) but no signs of lupus recurrence or rejection, indicating TMA related to APS caused the graft loss, emphasizing the need for strict adherence to warfarin treatment.
Article Abstract
We experienced a 36-year-old man with lupus nephritis and antiphospholipid syndrome (APS) who received a donor kidney from his father. Twenty-two months after transplantation, at a time of poor adherence to immunosuppressants and warfarin, the patient developed sudden graft loss due to hemolytic uremic syndrome with rapid deterioration of renal function, thrombocytopenia, and hemolytic anemia. A kidney biopsy showed thrombotic microangiopathy (TMA) related to platelet thrombus formation; however, there was no recurrence of lupus and no findings suggestive of post-transplant rejection, so acute TMA associated with APS was thought to be the cause of the graft loss. This case highlights the importance of instructing patients with lupus nephritis to adhere to treatment with warfarin, a therapeutic drug for APS.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569915 | PMC |
| http://dx.doi.org/10.2169/internalmedicine.0813-22 | DOI Listing |
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