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혈장분리반출술 (Plasmapheresis)과 정주용 면역글로불린 (4 immunoglobulin)을 이용하여 성공적으로 치료한 신이식후 급성 체액성 거부 반응
이정환 ( Jeong Hwan Lee ),차란희 ( Ran Hui Cha ),김치원 ( Chi Weon Kim ),김선문 ( Sun Moon Kim ),장혜련 ( Hye Ryoun Jang ),하종원 ( Jong Won Ha ),박명희 ( Myoung Hee Park ),문경철 ( Kyung Chul Moon ),김연수 ( Yon Su Kim ) 대한신장학회 2006 Kidney Research and Clinical Practice Vol.25 No.5
Acute humoral rejection after renal transplantation is associated with a higher frequency of allograft dysfunction and graft loss. We report a case of acute humoral rejection which was treated successfully with plasmapheresis and intravenous immunoglobulin. A 31-year-old man developed azotemia after kidney transplantation. Kidney biopsy finding was compatible with antibody-mediated rejection, demonstrated by the infiltration of monocytes and neutrophils and the deposition of C4d on glomerulus and peritubular capillaries. We performed five plasmapheresis with concomitant treatment of intravenous immunoglobulin after each session. With aggressive treatment, there was improvement of oliguric acute renal failure, accompanied by decrease in the percentage of PRA and the titer of donor specific antibodies. Repeated kidney biopsy revealed persistent C4d staining on peritubular capillaries despite disappearance of donor specific antibodies. In conclusion, plasmapheresis and intravenous immunoglobulin are effective in treating acute humoral rejection. Korean J Nephrol 2006; 25(5):863-869)