Acute oxalate nephropathy following kidney transplantation: Report of three cases
Identifieur interne : 002182 ( Main/Exploration ); précédent : 002181; suivant : 002183Acute oxalate nephropathy following kidney transplantation: Report of three cases
Auteurs : Diana Taheri [Iran] ; Alaleh Gheissari [Iran] ; Pooria Shaabani [Iran] ; Seyed Reza Tabibian [Iran] ; Mojgan Mortazavi [Iran] ; Shiva Seirafian [Iran] ; Alireza Merrikhi [Iran] ; Mehdi Fesharakizadeh [Iran] ; Shahaboddin Dolatkhah [Iran]Source :
- Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences [ 1735-1995 ] ; 2015.
Abstract
Calcium oxalate (CaOx) crystal deposition is a common finding immediately after kidney transplantation. However, small depositions of CaOx could be benign while extensive depositions lead to poor graft outcome. Here we report three cases with end-stage renal disease (ESRD), bilateral nephrolithiasis, and unknown diagnosis of primary hyperoxaluria (PH) who underwent a renal transplant and experienced an early-onset graft failure. Although an acute rejection was suspected, renal allograft biopsies and subsequent allograft nephrectomies showed extensive CaOx deposition, which raised a suspicion of PH. Even though increased urinary excretion of CaOx was found in all patients, this diagnosis could be confirmed with further tests including genetic study and metabolic assay. In conclusion, massive CaOx deposition in kidney allograft is an important cause of poor allograft survival and needs special management. Furthermore, our cases suggest patients with ESRD and a history of nephrolithiasis should be screened for elevated urinary oxalate excretion and rule out of PH.
Url:
DOI: 10.4103/1735-1995.168408
PubMed: 26664431
PubMed Central: 4652317
Affiliations:
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Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Nephrology, Isfahan Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Nephrology, Isfahan Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Gheissari, Alaleh" sort="Gheissari, Alaleh" uniqKey="Gheissari A" first="Alaleh" last="Gheissari">Alaleh Gheissari</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Pediatric Nephrology, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Pediatric Nephrology, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Shaabani, Pooria" sort="Shaabani, Pooria" uniqKey="Shaabani P" first="Pooria" last="Shaabani">Pooria Shaabani</name><affiliation wicri:level="1"><nlm:aff id="aff4">Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Tabibian, Seyed Reza" sort="Tabibian, Seyed Reza" uniqKey="Tabibian S" first="Seyed Reza" last="Tabibian">Seyed Reza Tabibian</name><affiliation wicri:level="1"><nlm:aff id="aff4">Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Faculty of Medicine, Isfahan University of Medical Sciences, 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xml:lang="fr">Iran</country><wicri:regionArea>Department of Nephrology, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Merrikhi, Alireza" sort="Merrikhi, Alireza" uniqKey="Merrikhi A" first="Alireza" last="Merrikhi">Alireza Merrikhi</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Pediatric Nephrology, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Pediatric Nephrology, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Fesharakizadeh, Mehdi" sort="Fesharakizadeh, Mehdi" uniqKey="Fesharakizadeh M" first="Mehdi" last="Fesharakizadeh">Mehdi Fesharakizadeh</name><affiliation wicri:level="1"><nlm:aff id="aff6">Department of Surgery, School of Medicine, Islamic Azad University, Najaf Abad Branch, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Surgery, School of Medicine, Islamic Azad University, Najaf Abad Branch, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author><author><name sortKey="Dolatkhah, Shahaboddin" sort="Dolatkhah, Shahaboddin" uniqKey="Dolatkhah S" first="Shahaboddin" last="Dolatkhah">Shahaboddin Dolatkhah</name><affiliation wicri:level="1"><nlm:aff id="aff4">Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences</title><idno type="ISSN">1735-1995</idno><idno type="eISSN">1735-7136</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Calcium oxalate (CaOx) crystal deposition is a common finding immediately after kidney transplantation. However, small depositions of CaOx could be benign while extensive depositions lead to poor graft outcome. Here we report three cases with end-stage renal disease (ESRD), bilateral nephrolithiasis, and unknown diagnosis of primary hyperoxaluria (PH) who underwent a renal transplant and experienced an early-onset graft failure. Although an acute rejection was suspected, renal allograft biopsies and subsequent allograft nephrectomies showed extensive CaOx deposition, which raised a suspicion of PH. Even though increased urinary excretion of CaOx was found in all patients, this diagnosis could be confirmed with further tests including genetic study and metabolic assay. In conclusion, massive CaOx deposition in kidney allograft is an important cause of poor allograft survival and needs special management. Furthermore, our cases suggest patients with ESRD and a history of nephrolithiasis should be screened for elevated urinary oxalate excretion and rule out of PH.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Pinheiro, Hs" uniqKey="Pinheiro H">HS Pinheiro</name></author><author><name sortKey="Camara, No" uniqKey="Camara N">NO Câmara</name></author><author><name sortKey="Osaki, Ks" uniqKey="Osaki K">KS Osaki</name></author><author><name sortKey="De Moura, La" uniqKey="De Moura L">LA De Moura</name></author><author><name sortKey="Pacheco Silva, A" uniqKey="Pacheco Silva A">A Pacheco-Silva</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Parasuraman, R" uniqKey="Parasuraman R">R Parasuraman</name></author><author><name sortKey="L Zhang, P" uniqKey="L Zhang P">P L Zhang</name></author><author><name sortKey="Samarapungavan, D" uniqKey="Samarapungavan D">D Samarapungavan</name></author><author><name 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uniqKey="Wong A">AK Wong</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Iran</li></country></list><tree><country name="Iran"><noRegion><name sortKey="Taheri, Diana" sort="Taheri, Diana" uniqKey="Taheri D" first="Diana" last="Taheri">Diana Taheri</name></noRegion><name sortKey="Dolatkhah, Shahaboddin" sort="Dolatkhah, Shahaboddin" uniqKey="Dolatkhah S" first="Shahaboddin" last="Dolatkhah">Shahaboddin Dolatkhah</name><name sortKey="Fesharakizadeh, Mehdi" sort="Fesharakizadeh, Mehdi" uniqKey="Fesharakizadeh M" first="Mehdi" last="Fesharakizadeh">Mehdi Fesharakizadeh</name><name sortKey="Gheissari, Alaleh" sort="Gheissari, Alaleh" uniqKey="Gheissari A" first="Alaleh" last="Gheissari">Alaleh Gheissari</name><name sortKey="Merrikhi, Alireza" sort="Merrikhi, Alireza" uniqKey="Merrikhi A" first="Alireza" last="Merrikhi">Alireza Merrikhi</name><name sortKey="Mortazavi, Mojgan" sort="Mortazavi, Mojgan" uniqKey="Mortazavi M" first="Mojgan" last="Mortazavi">Mojgan Mortazavi</name><name sortKey="Seirafian, Shiva" sort="Seirafian, Shiva" uniqKey="Seirafian S" first="Shiva" last="Seirafian">Shiva Seirafian</name><name sortKey="Shaabani, Pooria" sort="Shaabani, Pooria" uniqKey="Shaabani P" first="Pooria" last="Shaabani">Pooria Shaabani</name><name sortKey="Tabibian, Seyed Reza" sort="Tabibian, Seyed Reza" uniqKey="Tabibian S" first="Seyed Reza" last="Tabibian">Seyed Reza Tabibian</name><name sortKey="Taheri, Diana" sort="Taheri, Diana" uniqKey="Taheri D" first="Diana" last="Taheri">Diana Taheri</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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