[Treatment of post kidney transplantation erythrocytosis (PTE) with ACE inhibitors]

Autor: W, Morale, C, Puliatti, P, Veroux, M, Veroux, C, Valvo, D, Cappello, D, Puliatti, L, Francesco
Rok vydání: 2002
Předmět:
Zdroj: Minerva urologica e nefrologica = The Italian journal of urology and nephrology. 54(3)
ISSN: 0393-2249
Popis: Post kidney transplantation erythrocytosis is a frequent complication in male subjects. In our experience, it occurs in approximately 20% of transplant patients receiving cyclosporine immunosuppression therapy.Twenty-two patients with post kidney transplantation erythrocytosis were treated using ACE-inhibitors (lisinopril) at a dose of 2-5-5 mg/day for a mean period of 15 months. Owing to the onset of collateral effects, 27% of these patients requested the conversion of ACE into angiotensin II receptor antagonists (AII). Twenty out of 22 patients were male (90%).Treatment resulted in a 15% reduction of hematocrit values compared to basal levels, which remained stable over time. No collateral effects were recorded, either for the kidneys or in terms of hypotension.ACE-inhibitors (lisinopril) or alternatively the use of angiotensin II receptor antagonists, like Losartan, at low doses, is an effective and safe treatment for patients developing post-transplantation erythrocytosis (PTE).
Databáze: OpenAIRE