Hypertension in the Kidney Transplant Recipient
Fig. 20.1 Normal and abnormal 24-h blood pressure monitor tracings (sleep time is designated by the bar at the bottom of each figure). (a) Represents a normal 24-h day–night blood…
Urologic Issues in the Renal Transplant Patient
Male gender Age (>35 years) Smoking history Chemical exposure (benzenes or aromatic amines) History of gross hematuria History of other urologic disease Irritative voiding symptoms History of pelvic irradiation Chronic…
Antibody-Mediated Rejection in Kidney Transplantation
Fig. 26.1 Mechanisms of allograft injury by donor-specific antibody Activation of complement system plays a major role in antibody-mediated graft injury. After the binding of DSA to and cross-linking of…
Evaluation and Initial Management of Graft Dysfunction
aFocal segmental glomerulosclerosis 2. The differential diagnosis of allograft AKI changes with time following transplant, whereas the differential diagnosis of native AKI (prerenal, renal, and postrenal) can often be…
Post-transplant Proteinuria: Differential Diagnosis and Management
Albumin Total protein 24-h (mg/day) ACR (mg/g) 24-h (mg/day) PCR (mg/g) Normal <30 <17 (men) <300 <200 <25 (women) Microalbuminuria 30–300 17–250 (men) NA NA 25–355 (women) Albuminuria >300…
Management of Transplantation Renal Bone Disease: Interplay of Bone Mineral Density and Decisions Regarding Bisphosphonate Use
Monitoring frequency guidelines CKD stage GFR range (mL/min/1.73 m2) PTH (pg/mL) Alkaline phosphatase (U/L) Calcium and phosphorus (mg/dL) CKD1 T >90 Once in the first 3 months and then every…
Recurrent and De Novo Diseases After Renal Transplantation
Primary glomerular disease Systemic disease Metabolic disease De novo disease Focal segmental glomerulosclerosis Systemic lupus erythematosus Diabetic nephropathy Membranous nephropathy IgA nephropathy Henoch–Schonlein purpura Oxalosis Anti-GBM disease MPGN type I…
Prevention and Management of Infectious Complications in Kidney Transplant Recipients
Serologies Cytomegalovirus Herpes simplex virus 1 and 2 Hepatitis A, B, and C viruses Epstein–Barr virus (EBV) Varicella zoster virus Human immunodeficiency virus Rapid plasma regain Tuberculin skin test or…
Liver Disease in Renal Transplant Recipients
Type of liver insult Setting Characteristic findings Ischemic hepatic injury Hypotension during surgery but may also occur with severe volume depletion and hepatic hypoperfusion at any time posttransplant Marked but…
Evaluation and Management of Transplant-Associated Hyperglycemia
Fig. 21.1 Components of TAH Diagnostic Considerations While both the World Health Organization and ADA definitions are accepted, we prefer the ADA based on a slightly higher level of stringency…
