Document Detail

A 7-year-old boy with renal insufficiency and proteinuria after stem cell transplant for T-cell acute lymphoblastic leukemia.
MedLine Citation:
PMID:  23391318     Owner:  NLM     Status:  Publisher    
Chronic kidney disease is common in pediatric patients following hematopoietic stem cell transplant. Its etiology is likely multifactorial and depends both on pre-conditioning regimens as well as immunosuppressive therapy and posttransplant prophylactic medications. Graft vs. host disease (GVHD) is a common sequela of hematopoietic stem cell transplant and has been associated with the nephrotic syndrome (NS). Here we report a case of a pediatric patient who developed proteinuria and renal insufficiency after stem cell transplant. A kidney biopsy showed chronic interstitial nephritis and extensive foot process effacement, which are likely sequelae of GVHD. Moreover we show decreased CD4 and CD3 lymphocyte counts in the interstitial infiltrate, suggesting that abnormal lymphocyte response might play a role in podocyte injury following GVHD. This case illustrates the importance of the kidney biopsy in the assessment of stem cell transplant-mediated renal failure.
Julie E Goodwin; Matthew Palmer; Farzana Pashankar; Alda Tufro; Gilbert Moeckel
Related Documents :
23026578 - Noninvasive analyses of kidney injury molecule-1 messenger rna in kidney transplant rec...
24919128 - Nutcrackerlike phenomenon is an unusual cause for gross hematuria after a kidney graft.
24685578 - T-cell depleted related hla-mismatched peripheral blood stem cell transplantation as sa...
25015108 - The risk factors for tuberculosis in liver or kidney transplant recipients.
2655118 - Renal venous thrombosis in infancy.
9627038 - Ischemic nephropathy in an elderly nephrologic and hypertensive population.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-8
Journal Detail:
Title:  Clinical nephrology     Volume:  -     ISSN:  0301-0430     ISO Abbreviation:  Clin. Nephrol.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  ESA therapy - the quest continues: anemia treatment following recent national and international reco...
Next Document:  The effect of phosphate binders, calcium and lanthanum carbonate on FGF23 levels in chronic kidney d...