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KMID : 0361120010150020231
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Korean Journal of Transplantation
2001 Volume.15 No. 2 p.231 ~ p.233
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Five Cases of Renal Transplantation in Hepatitis B Surface Antigen Positive Patients
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소정은/Joung Eun Soh
김희진/이태원/임천규/김명재/Hee Jin Kim/Tae Won Lee/Chun Gyoo Ihm/Myung Jae Kim
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Abstract
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Chronic hepatitis is one of the leading cause of hospitalization and death in kidney transplanted patient. Korea is one of the endemic area of chronic hepatitis B. The impact of hepatitis B virus (HBV) infection on the clinical course of renal transplant recipient has been controversial. We describe five Hepatitis B surface antigen (HBsAg) positive renal transplant recipients who transplanted at the KyungHee University Medical Center during the period of January 1992 to July 2000. All these patients have no clinical sign or symptom of chronic hepatitis at the time of transplantation. Mean follow up period was 70 month (range 7-57). Three of 5 patients developed liver cirrhosis with complications during follow-up period. One patient died of fulminant hepatitis due to reactivation of HBV. The remaining one patient is free of disease till now. Four of 5 patients maintained the function of transplanted kidney and only one patient restarted hemodialysis.
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KEYWORD
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