title: Renal transplantation in a patient with idiopathic thrombocytopenic purpura.
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.
authors.affiliation: Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Eun Mi
authors.initials: EM
authors.lastname: Hwang
authors.forename: Hyun Young
authors.initials: HY
authors.lastname: Woo
authors.forename: Beom Soon
authors.initials: BS
authors.lastname: Choi
authors.forename: Chul Woo
authors.initials: CW
authors.lastname: Yang
authors.forename: Yong Soo
authors.initials: YS
authors.lastname: Kim
authors.forename: In Sung
authors.initials: IS
authors.lastname: Moon
authors.forename: Byung Kee
authors.initials: BK
authors.lastname: Bang
mesh_terms: D000328:Adult; D005922:Glomerulonephritis, IGA / Q000150:complications; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000209:etiology / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications*