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Recenzirano
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Touzot, M.; Pillebout, E.; Matignon, M.; Tricot, L.; Viard, J. P.; Rondeau, E.; Legendre, C.; Glotz, D.; Delahousse, M.; Lang, P.; Peraldi, M. N.
American journal of transplantation, October 2010, Letnik: 10, Številka: 10Journal Article
Kidney transplantation is now considered as a reasonable option for HIV‐infected patients with end‐stage renal disease. We describe here a retrospective study conducted in five transplantation centers in Paris. Twenty‐seven patients were included. Immunosuppressive protocol associated an induction therapy and a long‐term treatment combining mycophenolate mofetil, steroids and either tacrolimus or cyclosporine. All the patients had protocol biopsies at 3 months and 1 year. Patient's survival was 100% at 1 year and 98% at 2 years. Graft survival at 1 and 2 years is 98% and 96% at 1 and 2 years, respectively. The mean glomerular filteration rate values at 12 and 24 months were 60.6 mL/min/1.73 m2 (range 23–98) and 65.4 mL/min/1.73m2 (range 24–110), respectively. Acute cellular rejection was diagnosed in four cases (15%). Because of high trough levels of calcineurin inhibitor, protease‐inhibitor therapies were withdrawn in 11 cases. HIV disease progression was not observed. One patient developed B‐cell lymphoma. In conclusion, our study confirms the safety of renal transplantation in HIV‐infected patients with few adverse events and a low incidence of acute rejection. Systematic protocol biopsies performed in a cohort of 27 HIV‐infected recipients reveal a low incidence of acute rejection.
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Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Vir: Osebne bibliografije
in: SICRIS
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