KMID : 0882420110810040512
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Korean Journal of Medicine 2011 Volume.81 No. 4 p.512 ~ p.516
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A Case of Combining Intravenous Immunoglobulin and Leflunomide for BK Nephropathy
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Cho Sun-Young
Bae Jeong-Mo Nam Woo-Jin Kim Jin-Gun Kim Su-Hyun Oh Dong-Jin Yu Suk-Hee
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Abstract
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BK virus nephropathy has emerged as an important cause of renal allograft dysfunction. It affects 1-10% of renal transplant patients and results in significant graft dysfunction in more than 50% of cases. A reduction in the amount of immunosuppressants is not an appropriate treatment option for advanced stage BK nephropathy; therefore, other treatment strategies need to be considered such as cidofovir, leflunomide, and intravenous immunoglobulin (IVIG) in combination with reduced immunosuppression. The use of IVIG may be a valuable treatment option in patients with BK virus nephropathy. We report our experience with IVIG rescue therapy in a patient and the progression of BK nephropathy despite leflunomide therapy.
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KEYWORD
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BK virus, Immunoglobulin, Kidney transplantation, Leflunomide
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