Gross hematuria as a sign of acute rejection

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

In the contemporary era of potent immunosuppressive regimens, previously encountered signs of renal allograft rejection such as fever and hematuria are rarely encountered. We report a teenager with severe recurrent acute humoral and cellular rejection whose presenting feature was gross hematuria with the presence of blood clots in the urine. We want to highlight that severe rejection even in the setting of modern immunosuppressive drugs can present as gross hematuria. Contrary to conventional wisdom that gross hematuria with the presence of blood clots in the urine is indicative of pathology in the renal collecting system, a parenchymal disease process should also be considered in renal transplant recipients.

Original languageEnglish (US)
JournalPediatric Transplantation
Volume18
Issue number4
DOIs
StatePublished - 2014

Fingerprint

Hematuria
Immunosuppressive Agents
Kidney
Thrombosis
Urine
Allografts
Fever
Pathology
Pharmaceutical Preparations

Keywords

  • hematuria
  • kidney transplantation
  • rejection

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation
  • Medicine(all)

Cite this

Gross hematuria as a sign of acute rejection. / Winnicki, Erica; Nguyen, Stephanie; Butani, Lavjay.

In: Pediatric Transplantation, Vol. 18, No. 4, 2014.

Research output: Contribution to journalArticle

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