Immunosuppressive therapy for kidney transplant prevents vaso-occlusive crisis in a haemoglobin SC disease patient
| Autor: | José Artur Bogo Chies, Matheus Roriz Silva Cruz, Émerson Felipe Araújo Barros, Christiane Dresch, Camila Matzenbacher Bittar, J. Friedrisch, G.K. da Silva, Lucia Mariano da Rocha Silla |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Graft Rejection congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Treatment outcome Disease Kidney transplant Immune system hemic and lymphatic diseases Internal medicine medicine Humans Vascular Diseases Kidney transplantation Kidney business.industry Models Immunological Disease patient General Medicine medicine.disease Kidney Transplantation medicine.anatomical_structure Treatment Outcome Immunology Kidney Failure Chronic Female Hemoglobin SC Disease business Vaso-occlusive crisis Immunosuppressive Agents |
| Zdroj: | Medical hypotheses. 64(1) |
| ISSN: | 0306-9877 |
| Popis: | Although the molecular basis of sickle cell disease (SCD) is well established, the wide variability in clinical manifestations still puzzles haematologists and clinicians. Recently, SCD started to be considered by different groups as a chronic inflammatory condition, where the inflammatory tendency of each individual could drive more or less severe clinical features. Here we describe a haemoglobin SC disease patient (heterozygous to both HbS and HbC variants) that experienced several vaso-occlusive crises before underwent a successful kidney transplantation. Since then (16 years ago), she is on uninterruped immunosuppressive therapy, and do not experienced any severe vaso-occlusive crisis. Considering SCD associated morbidity as a result of exacerbated immune responses, we suggest that the immunosuppressive therapy directed to the kidney graft maintenance is actually also helping in the control of the chronic inflammatory responses associated to SCD. |
| Databáze: | OpenAIRE |
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