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KMID : 0338420050200010092
The Korean Journal of Internal Medicine
2005 Volume.20 No. 1 p.92 ~ p.95
Renal Transplantation in a Patient with Idiopathic Thrombocytopenic Purpura.
Hwang EM
Woo HY/Choi BS/Yang CW/Kim YS/Moon IS/Bang BK
Abstract
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.
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