Plasma exchange in the treatment of early recurrent focal glomerulosclerosis after renal transplantation
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AbstractWe report a 29-year-old female with recurrent focal glomerulosclerosis (FGS) presenting as heavy proteinuria immediately following renal transplantation. From day 13 after transplantation, daily plasma exchange was performed 6 times. Proteinuria decreased from 13 to 0.2 g/day after plasma exchange and remained to be less than 0.1 g/day even 20 months thereafter. Our review of the literature on the use of plasma exchange in treating recurrent FGS suggests this procedure is not useful in patients whose allograft biopsy showed advanced glomerular sclerotic lesions. We propose early plasma exchange may be a therapeutic option in those patients who have no sclerotic lesions in their allograft biopsy. © 1993 S. Karger AG, Basel.
All Author(s) ListLi P.K.T., Lai F.M., Leung C.B., Lui S.F., Wang A., Lai K.N.
Journal nameAmerican Journal of Nephrology
Year1993
Month1
Day1
Volume Number13
Issue Number4
PublisherS. Karger AG
Place of PublicationSwitzerland
Pages289 - 292
ISSN0250-8095
LanguagesEnglish-United Kingdom
KeywordsPlasma exchange, Recurrent focal glomerulosclerosis, Renal transplantation, Sclerosis pathology

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