Renal transplantation in a patient with idiopathic thrombocytopenic purpura.
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.
Hwang
Eun Mi
EM
Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
Woo
Hyun Young
HY
Choi
Beom Soon
BS
Yang
Chul Woo
CW
Kim
Yong Soo
YS
Moon
In Sung
IS
Bang
Byung Kee
BK
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*