What is an allograft injury?

What is an allograft injury?

Abstract. Chronic renal allograft injury (CRAI) is a multifactorial clinical/pathological entity characterised by a progressive decrease in glomerular filtration rate, generally associated with proteinuria and arterial hypertension.

What is renal allograft rejection?

Allograft rejection is inflammation with specific pathologic changes in the allograft, due to the recipient’s immune system recognizing the non-self antigen in the allograft, with or without dysfunction of the allograft.

What is transplant nephropathy?

Chronic allograft nephropathy (CAN) is a kidney disorder which is the leading cause of kidney transplant failure, occurring months to years after the transplant.

Can chronic allograft nephropathy?

Chronic allograft nephropathy (CAN) is a term used to describe a gradual decline in renal function with histological evidence of interstitial fibrosis and tubular atrophy occurring at least three months posttransplant and where no specific cause can be identified.

What is chronic allograft dysfunction?

Chronic allograft dysfunction (CAD) is a multifactorial process associated with progressive interstitial fibrosis and tubular atrophy.

What are signs of kidney rejection?

What are the warning signs of possible rejection?

  • Increase in serum creatinine.
  • Fever higher than 100 degrees Fahrenheit (38 degrees Celsius)
  • “Flu-like” symptoms: chills, aches, headache, dizziness, nausea and/or vomiting.
  • New pain or tenderness around the kidney.
  • Fluid retention (swelling)

Can kidney rejection be stopped?

To help prevent your new kidney from being rejected, your doctor will give you immunosuppressants, which are medicines that decrease your immune response so your body is less likely to reject your new kidney. Immunosuppressants are also sometimes called anti-rejection medicines.

What causes chronic allograft nephropathy?

Chronic allograft nephropathy (CAN) is the leading cause of renal allograft loss in paediatric renal transplant recipients. CAN is the result of immunological and nonimmunological injury, including acute rejection episodes, hypoperfusion, ischaemia reperfusion, calcineurin toxicity, infection and recurrent disease.

What is restrictive allograft syndrome?

Restrictive allograft syndrome (RAS) is a novel form of chronic lung allograft dysfunction after lung transplantation. RAS is characterized by restrictive physiology and peripheral lung fibrosis. The purpose of the study is to analyze progression patterns of RAS.

How is chronic allograft nephropathy related to kidney failure?

Chronic allograft nephropathy, characterized by progressive renal dysfunction accompanied by chronic interstitial fibrosis, tubular atrophy, vascular occlusive changes, and glomerulosclerosis, 1,2 is the chief cause of kidney-transplant failure despite improvements in immunosuppression.

Why is Aki common in renal allograft recipients?

AKI is common in renal allograft recipients [1] due to multiple risk factors including single kidney, use of calcineurin inhibitors, and increasing use of marginal donor kidneys, among others.

Which is the leading cause of kidney transplant failure?

Chronic allograft nephropathy. Chronic allograft nephropathy (CAN) is the leading cause of kidney transplant failure and happens month to years after the transplant.

How is C4D positive renal allograft rejection treated?

C4d-positive acute humoral renal allograft rejection: effective treatment by immunoadsorption. In the last decade, molecular techniques have been evaluated for the non-invasive diagnosis of renal allograft dysfunction, mainly for the detection of acute rejection, with analyses performed in either peripheral blood or urine (7,9,10).