Renal Transplantation in a Patient with Idiopathic Thrombocytopenic Purpura.
10.3904/kjim.2005.20.1.92
- Author:
Eun Mi HWANG
1
;
Hyun Young WOO
;
Beom Soon CHOI
;
Chul Woo YANG
;
Yong Soo KIM
;
In Sung MOON
;
Byung Kee BANG
Author Information
1. Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. yangch@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Idiopathic thrombocytopenic purpura;
Renal transplantation
- MeSH:
Adult;
Glomerulonephritis, IGA/complications;
Humans;
Kidney Failure, Chronic/*complications/etiology/*surgery;
*Kidney Transplantation;
Male;
Purpura, Thrombocytopenic, Idiopathic/*complications
- From:The Korean Journal of Internal Medicine
2005;20(1):92-95
- CountryRepublic of Korea
- Language:English
-
Abstract:
The combination of idiopathic thrombocytopenic purpura (ITP) and chronic renal failure (CRF) is uncommon. This report highlights a case of renal transplantation in a patient with ITP. A 35-year-old man with ITP was admitted with uremic symptoms. A renal transplant and splenectomy was simultaneously performed. A prophylactic pneumococcous vaccination was performed and intravenous immunoglobulin (1 g/kg) was administered before and after the operation. The patient's platelet count increased gradually after the splenectomy. During a two-year follow up period, the graft function was well maintained. Renal transplantation in a patient with ITP is recommended with a well-designed strategy to prevent potential complications.
