Kidney transplant after preexisting posterior reversible encephalopathy syndrome induced by Goodpasture's syndrome.
Posterior reversible encephalopathy syndrome is characterized by varying neurologic symptoms associated with brain vasogenic edema. Posterior reversible encephalopathy syndrome can be associated with severe hypertension (eg, in eclampsia or HELLP syndrome), but it also has been observed without hypertension and in several clinical conditions including infections and autoimmune disorders. The literature offers several reports of posterior reversible encephalopathy syndrome detected or induced after bone-marrow and solid-organ transplant, or induction by immunosuppression. We describe what is, to the best of our knowledge, the first case of man who successfully underwent a kidney transplant with preexisting posterior reversible encephalopathy syndrome induced by Goodpasture's syndrome.
Department of Nephrology, Klinikum rechts der Isar, Technische Universitaet Muenchen, Germany. Tobias.Lahmer@lrz.tu-muenchen.de
Tobias
T
Lahmer
Claudius
C
Küchle
Lucas
L
Schirmer
Uwe
U
Heemann
Jens
J
Lutz
Klaus
K
Thürmel
D019867:Anti-Glomerular Basement Membrane Disease / Q000150:complications* / Q000601:surgery*; D004569:Electroencephalography; D005500:Follow-Up Studies; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D054038:Posterior Leukoencephalopathy Syndrome / Q000209:etiology* / Q000503:physiopathology; D057234:Preoperative Period; D016896:Treatment Outcome; D055815:Young Adult