Source:http://linkedlifedata.com/resource/pubmed/id/15016129
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2004-3-12
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pubmed:abstractText |
Acute cellular rejection (ACR) after liver transplantation occurs in as much as 70% of patients within the first year. There is very little known about ACR that occurs more than 1 yr after transplant, and it is generally believed that late occurring ACR may be more resistant to medical treatment and is associated with a higher rate of chronic ductopenic rejection and graft loss. A total of 532 recipients with more than 1000 d follow-up and who did not have hepatitis C were identified. Forty-three (8.1%) had biopsy proven late ACR at a mean of 1545 +/- 441 d post-transplant. Additionally, 38 of the 43 (88.4%) patients with late ACR had earlier episodes of ACR before 1000 d post-transplant vs. only 295 of the 488 patients (60.5%) that did not have late ACR (p < 0.01). The incidence of primary sclerosing cholangitis (PSC) was 32.6% among patients with late ACR and 11.1% among patients without late ACR (p < 0.01). The overall patient survival for patients who had late ACR (n = 43) is 81.4% while for patients without late ACR (n = 488) it is 82.0% (p = ns). Patients remain at risk for ACR even after 1000 d post-transplant, particularly those with PSC.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0902-0063
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pubmed:author |
pubmed-author:EmreSukruS,
pubmed-author:FishbeinThomasT,
pubmed-author:FlormanSanderS,
pubmed-author:GondolesiGabrielG,
pubmed-author:LentzS JSJ,
pubmed-author:LevayAdamA,
pubmed-author:MamanDanD,
pubmed-author:MillerCharlesC,
pubmed-author:SchianoThomasT,
pubmed-author:SchwartzMyronM,
pubmed-author:SheinerPatriciaP
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pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
152-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:15016129-Acute Disease,
pubmed-meshheading:15016129-Adult,
pubmed-meshheading:15016129-Cholangitis, Sclerosing,
pubmed-meshheading:15016129-Female,
pubmed-meshheading:15016129-Graft Rejection,
pubmed-meshheading:15016129-Humans,
pubmed-meshheading:15016129-Liver Transplantation,
pubmed-meshheading:15016129-Male,
pubmed-meshheading:15016129-Middle Aged,
pubmed-meshheading:15016129-Survival Rate,
pubmed-meshheading:15016129-Time Factors
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pubmed:year |
2004
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pubmed:articleTitle |
The incidence and significance of late acute cellular rejection (>1000 days) after liver transplantation.
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pubmed:affiliation |
The Recanti/Miller Transplantation Institute, The Mount Sinai School of Medicine, New York, USA. sflorman@tulane.edu
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pubmed:publicationType |
Journal Article
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