PMID- 16926602 OWN - NLM STAT- MEDLINE DCOM- 20060921 LR - 20060823 IS - 0041-1337 (Print) IS - 0041-1337 (Linking) VI - 82 IP - 4 DP - 2006 Aug 27 TI - Immunoglobulin therapy for plasma cell-rich rejection in the renal allograft. PG - 567-9 AB - Plasma cell-rich acute rejection (PCAR) is associated with poor allograft outcome in renal transplantation. Previous studies report a graft half-life of six months after a single PCAR episode. However, the management of this condition is unclear. Intravenous immunoglobulin (IVIG) therapy, by virtue of its immunomodulating properties, and its influence on B-cell maturation into plasma cells, may be a good candidate for reversing this type of rejection. We report four episodes of PCAR in two patients who responded well to IVIG with improvement in renal function. FAU - Adrogue, Horacio E AU - Adrogue HE AD - Nephrology Section, Baylor College of Medicine, The Methodist Hospital, Houston, TX, USA. horacioa@bcm.edu FAU - Soltero, Liliana AU - Soltero L FAU - Land, Geoffrey A AU - Land GA FAU - Ramanathan, Venkataraman AU - Ramanathan V FAU - Truong, Luan D AU - Truong LD FAU - Suki, Wadi N AU - Suki WN LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Transplantation JT - Transplantation JID - 0132144 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Adult MH - Female MH - Graft Rejection/*drug therapy/pathology MH - Humans MH - Immunoglobulins, Intravenous/*therapeutic use MH - Kidney Transplantation/*adverse effects MH - Male MH - Middle Aged MH - Plasma Cells/*pathology MH - Transplantation, Homologous EDAT- 2006/08/24 09:00 MHDA- 2006/09/22 09:00 CRDT- 2006/08/24 09:00 PHST- 2006/08/24 09:00 [pubmed] PHST- 2006/09/22 09:00 [medline] PHST- 2006/08/24 09:00 [entrez] AID - 00007890-200608270-00018 [pii] AID - 10.1097/01.tp.0000231922.11453.ec [doi] PST - ppublish SO - Transplantation. 2006 Aug 27;82(4):567-9. doi: 10.1097/01.tp.0000231922.11453.ec.