PMID- 22066080
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20111110
LR  - 20211021
IS  - 2093-0488 (Electronic)
IS  - 2233-7903 (Print)
IS  - 1226-0053 (Linking)
VI  - 80 Suppl 1
IP  - Suppl 1
DP  - 2011 Jun
TI  - Graft-versus-host disease after kidney transplantation.
PG  - S36-9
LID - 10.4174/jkss.2011.80.Suppl1.S36 [doi]
AB  - Graft-versus-host disease (GVHD) is a rare complication after kidney 
      transplantation. We describe a 62-year-old female with end-stage renal disease 
      due to hypertension. She received a kidney with 4 mismatched human leukocyte 
      antigen (HLA) out of 6 HLA - A, B, DR from a deceased donor. After the procedure, 
      the patient showed watery diarrhea on postoperative day (POD) 45. An endoscopic 
      biopsy of the colon revealed some apoptotic cells consistent with GVHD. 
      Thrombocytopenia was gradually developed on POD 54. She received steroid pulse 
      therapy, and thrombocytopenia did not progress. However, pneumonia, renal 
      failure, and cardiac failure occurred. She died due to multiple organ failure. We 
      must consider GVHD in renal transplant recipients without homozygous or identical 
      HLA, who had only watery diarrhea without other typical GVHD symptoms such as 
      skin rash and fever, although GVHD is rare in renal transplant recipients.
FAU - Kim, Jong Man
AU  - Kim JM
AD  - Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of 
      Medicine, Seoul, Korea.
FAU - Kim, Sung Joo
AU  - Kim SJ
FAU - Joh, Jae-Won
AU  - Joh JW
FAU - Kwon, Choon Hyuck David
AU  - Kwon CH
FAU - Jang, Kee-Taek
AU  - Jang KT
FAU - An, Jungsuk
AU  - An J
FAU - Ki, Chang-Seok
AU  - Ki CS
FAU - Kang, Eun-Suk
AU  - Kang ES
FAU - Shin, Milljae
AU  - Shin M
FAU - Kim, Bok Nyeo
AU  - Kim BN
FAU - Lee, Suk-Koo
AU  - Lee SK
LA  - eng
PT  - Case Reports
DEP - 20110617
PL  - Korea (South)
TA  - J Korean Surg Soc
JT  - Journal of the Korean Surgical Society
JID - 101564795
PMC - PMC3205370
OTO - NOTNLM
OT  - Graft-versus-host disease
OT  - Human leukocyte antigen
OT  - Kidney donation
OT  - Kidney transplantation
COIS- No potential conflict of interest relevant to this article was reported.
EDAT- 2011/11/09 06:00
MHDA- 2011/11/09 06:01
PMCR- 2011/06/01
CRDT- 2011/11/09 06:00
PHST- 2010/04/03 00:00 [received]
PHST- 2010/07/15 00:00 [accepted]
PHST- 2011/11/09 06:00 [entrez]
PHST- 2011/11/09 06:00 [pubmed]
PHST- 2011/11/09 06:01 [medline]
PHST- 2011/06/01 00:00 [pmc-release]
AID - 10.4174/jkss.2011.80.Suppl1.S36 [doi]
PST - ppublish
SO  - J Korean Surg Soc. 2011 Jun;80 Suppl 1(Suppl 1):S36-9. doi: 
      10.4174/jkss.2011.80.Suppl1.S36. Epub 2011 Jun 17.