Dilemmas in renal transplantation: When the clinical course and histological findings differ

被引：12

作者：

Curtis, JJ

Julian, BA

Sanders, CE

Herrera, GA

Gaston, RS

机构：

[1] UNIV ALABAMA, DEPT SURG, BIRMINGHAM, AL 35294 USA

[2] UNIV ALABAMA, DEPT PATHOL, BIRMINGHAM, AL 35294 USA

来源：

AMERICAN JOURNAL OF KIDNEY DISEASES | 1996年 / 27卷 / 03期

关键词：

biopsy; rejection; transplantation;

D O I：

10.1016/S0272-6386(96)90370-4

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Histological examination of renal allograft tissue has become the accepted standard in diagnosing acute rejection. We present three cases of allograft dysfunction in which the histological findings and clinical course differed. Reliance on histology alone in therapeutic decision making might have resulted in inappropriate clinical interventions. In renal transplantation, biopsy results must always be interpreted in conjunction with clinical findings. (C) 1996 by the National Kidney Foundation, Inc.

引用

页码：435 / 440

页数：6

共 13 条

[1]

Bignardi L, 1987, Nephrol Dial Transplant, V2, P366

[2]

Chung Y C, 1991, J Formos Med Assoc, V90, P375

[3]

FIORENTINO DF, 1991, J IMMUNOL, V146, P3444

[4] A PROSPECTIVE, RANDOMIZED, BLIND COMPARISON OF 3 BIOPSY TECHNIQUES IN THE MANAGEMENT OF PATIENTS AFTER RENAL-TRANSPLANTATION [J].