Renal transplantation in a patient with idiopathic thrombocytopenic purpura

The combination of idiopathic thrombocytopenic purpura (ITP) and chronic renal failure (CRF) is uncommon. This report highlights a case of renal transplantation in a patient with ITP. A 35-year-old man with ITP was admitted with uremic symptoms. A renal transplant and splenectomy was simultaneously...

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Bibliographic Details
Published in:The Korean journal of internal medicine 2005-03, Vol.20 (1), p.92-95
Main Authors: Hwang, Eun Mi, Woo, Hyun Young, Choi, Beom Soon, Yang, Chul Woo, Kim, Yong Soo, Moon, In Sung, Bang, Byung Kee
Format: Article
Language:English
Subjects:
Adult
Case Report
Glomerulonephritis, IGA - complications
Humans
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - surgery
Kidney Transplantation
Male
Purpura, Thrombocytopenic, Idiopathic - complications
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Summary:The combination of idiopathic thrombocytopenic purpura (ITP) and chronic renal failure (CRF) is uncommon. This report highlights a case of renal transplantation in a patient with ITP. A 35-year-old man with ITP was admitted with uremic symptoms. A renal transplant and splenectomy was simultaneously performed. A prophylactic pneumococcous vaccination was performed and intravenous immunoglobulin (1 g/kg) was administered before and after the operation. The patient's platelet count increased gradually after the splenectomy. During a two-year follow up period, the graft function was well maintained. Renal transplantation in a patient with ITP is recommended with a well-designed strategy to prevent potential complications.
ISSN:1226-3303
2005-6648
DOI:10.3904/kjim.2005.20.1.92