[Application of mycophenolate mofetil in hepatitis C patients after kidney transplantation].
OBJECTIVE
To discuss adequate application of mycophenolate mofetil (MMF) in hepatitis C patients after kidney transplantation.


METHODS
A one-year follow-up study was conducted in 49 patients with hepatitis C but normal liver function before kidney transplantation, who were given postoperatively immunosuppressants of predisone, MMF and CsA/FK506. Patients with abnormal liver function after kidney transplantation who continued MMF therapy at routine dose and those with reduced or suspended MMF therapy all received intravenous therapy for liver protection, and the duration of therapies was recorded.


RESULTS
Nineteen patients presented with abnormal liver function after operation, and the duration of abnormal liver function till recovery was 32.82-/+4.13 days in the patients with unsuspended MMF therapy and 13.31-/+2.98 days in those with reduced or suspended MMF (P<0.05); the former patients required subsequently 62.7-/+3.23 days to recover normal liver function and the latter need only 23.4-/+2.29 days (P<0.05).


CONCLUSIONS
MMF should be reduced or suspended when liver function abnormality occurred in patients with hepatitis C after kidney transplantation, and immediate intravenous therapy for liver protection may prove beneficial.
Wang
Yi-bin
YB
Center of Kidney Transplantation, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. els-wang111@sohu.com
Yu
Li-xin
LX
Deng
Wen-feng
WF
Miao
Yun
Y
Ye
Jun-sheng
JS
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006526:Hepatitis C / Q000150:complications / Q000188:drug therapy* / Q000601:surgery*; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D016030:Kidney Transplantation; D008111:Liver Function Tests; D008297:Male; D008875:Middle Aged; D009173:Mycophenolic Acid / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use; D011184:Postoperative Period; D014511:Uremia / Q000150:complications / Q000188:drug therapy / Q000601:surgery
D007166:Immunosuppressive Agents; D009173:Mycophenolic Acid