Source:http://linkedlifedata.com/resource/pubmed/id/11475669
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2001-7-30
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pubmed:abstractText |
Cyclosporine (CsA) nephrotoxicity is an important problem in renal transplant recipients, which can influence long-term graft survival. The safety of conversion from CsA to azathioprine (AZA) remains controversial and can result in higher incidence of acute rejection. Mycophenolate mofetil (MMF) is a new immunosuppressive agent superior to AZA in the prevention of acute rejection. Five patients with cyclosporine nephrotoxicity were converted from CsA/AZA/prednisolon to MMF/prednisolon protocol. All patients had low immunological risk and 4 out of 5 patients received antithymocyte globulin before conversion as the induction therapy or as the treatment for acute rejection. Mean follow-up after conversion was 16.8 months (range 4-32 months). No patient experienced acute rejection during follow-up period. The mean serum creatinine concentration decreased from 219 +/- 44.18 (range 168-280) to 122.6 +/- 48.02 mumol/l (range 72-187 mumol/l) (p = 0.002). Arterial hypertension improved after CsA withdrawal in 20% of patients. We have concluded that, in selected patients with cyclosporine nephrotoxicity, CsA withdrawal with concomitant use of MMF is safe and effective in the improvement of graft function and arterial hypertension.
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pubmed:language |
srp
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Cyclosporine,
http://linkedlifedata.com/resource/pubmed/chemical/Immunosuppressive Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Mycophenolic Acid,
http://linkedlifedata.com/resource/pubmed/chemical/Prednisolone,
http://linkedlifedata.com/resource/pubmed/chemical/mycophenolate mofetil
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pubmed:status |
MEDLINE
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pubmed:issn |
0042-8450
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
58
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
157-60
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pubmed:dateRevised |
2009-11-9
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pubmed:meshHeading |
pubmed-meshheading:11475669-Adult,
pubmed-meshheading:11475669-Cyclosporine,
pubmed-meshheading:11475669-Female,
pubmed-meshheading:11475669-Graft Rejection,
pubmed-meshheading:11475669-Humans,
pubmed-meshheading:11475669-Immunosuppressive Agents,
pubmed-meshheading:11475669-Kidney,
pubmed-meshheading:11475669-Kidney Transplantation,
pubmed-meshheading:11475669-Male,
pubmed-meshheading:11475669-Middle Aged,
pubmed-meshheading:11475669-Mycophenolic Acid,
pubmed-meshheading:11475669-Prednisolone,
pubmed-meshheading:11475669-Retrospective Studies
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pubmed:articleTitle |
[Use of mycophenolate mofetil in patients with a transplanted kidney and cyclosporin nephrotoxicity].
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pubmed:publicationType |
Journal Article,
English Abstract
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