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KMID : 0361120140280010039
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Korean Journal of Transplantation
2014 Volume.28 No. 1 p.39 ~ p.42
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Successful Pediatric ABO-Incompatible Kidney Transplantation without Pretransplant Plasmapheresis: Report of a Case
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Lee A-Lan
Kim Hyun-Ok
Huh Kyu-Ha
Kim Myoung-Soo
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Abstract
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Immunologic responses of infants and younger children differ from those of adults. Therefore, application of different pretransplant strategies for antibody depletion in younger ABO-incompatible transplant recipients is appropriate. A 12-month-old male infant with end stage renal disease after acute tubular necrosis was scheduled to undergo kidney transplantation from an ABO-incompatible living donor. He did not undergo pretransplant plasmapheresis, as the titer of the anti-ABO antibody was less than 1：4. After kidney transplantation, posttransplant renal function and anti-ABO titers were stable until posttransplant 2 years.
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KEYWORD
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Pediatric kidney transplantation, ABO-incompatible kidney transplantation, Plasmapheresis
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