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Allograft dysfunction and parenchymal necrosis associated with renal artery stenosis and perigraft hematoma after kidney transplantation

Kim HS, Lee JH, Lee DY, Kim HY, Kim DH, Oh JS, Sin YH, Kim JK, Hwang SD

Transplant renal artery stenosis (TRAS) is one cause of allograft dysfunction. TRAS causes parenchymal necrosis and graft insufficiency. Herein, we report the case of a 40-year-old female with end-stage renal...
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Anaphylactic shock caused by an intradermal skin test-negative antibiotic during general anesthesia: A case report

Kim KN, Kim DW, Sin YH, Oh SY

Anaphylaxis during the perioperative period is rare, but it still causes severe cardiovascular and respiratory collapse that can be fatal. In particular, when using antibiotics that have a high risk...
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Successful Balloon Angioplasty with Low-pressure Balloon on Early Transplant Renal Artery Stenosis at Postoperative Day 7

Kim DY, Jung HD, Lee JH, Kim HS, Lee DY, Oh JS, Kim SM, Sin YH, Kim JK, Huh K, Park JH, Jung GS

Transplant renal artery stenosis (TRAS) is an important cause of hypertension, allograft dysfunction, and graft loss. Patient and allograft survival rates are lower in patients with TRAS. Causes of TRAS...
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Relationship between first-twitch depression and train-of-four ratio during sugammadex reversal of rocuronium-induced neuromuscular blockade

Kim KS, Oh YN, Kim TY, Oh SY, Sin YH

BACKGROUND: The primary outcome of sugammadex reversal for rocuronium-induced neuromuscular block (NMB) is a train-of-four ratio (TOFR) of 0.9, not first twitch (T1) height. We investigated whether the recovery of...
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Overcome of Drug Induced Thrombotic Microangiopathy after Kidney Transplantation by Using Belatacept for Maintenance Immunosuppression

Yun SH, Lee JH, Oh JS, Kim SM, Sin YH, Kim YJ, Kim JK

Thrombotic microangiopathy (TMA) is a serious complication of solid organ transplantation. Drug-induced TMA is typically caused by immunosuppressants, particularly calcineurin inhibitors. Withdrawing the causative drug can be one of the...
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A Successful Case of a High Anti A/B Antibody Titer ABO Incompatible Kidney Transplantation Patient Who Received a Kidney from a Hepatitis B Carrier

Lee JH, Kim HS, Lee DY, Oh JS, Sin YH, Kim JK, Park JH, Huh K, Park JI

Kidney transplantation (KTP) lowers the mortality and morbidity of patients with end-stage renal disease. Post-transplantation infection and antibody mediated rejection (AMR) are the most common complications. Hepatitis B surface antigen...
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Anaphylactic shock caused by intramuscular injection of midazolam during the perioperative period: a case report

Kim KN, Kim DW, Sin YH, Lee SK

Although anaphylactic shock during the perioperative period is rare, it can be lethal due to severe cardiovascular and respiratory collapse. Midazolam is generally used as premedication for relieving anxiety about...
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Treatment of Renal Transplant Recipients with Concurrent Acute Cellular Rejection and Transplant Renal Artery Stenosis

Kim HY, Yun JH, Kim DH, Lee JH, Oh JS, Kim SM, Sin YH, Kim JK, Kim YJ

Transplant renal artery stenosis (TRAS) is a common surgical complication after kidney transplantation (KTP) and is the cause of allograft dysfunction. TRAS is a potentially curable cause of refractory hypertension...
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Febuxostat for the Treatment of Chronic Tophaceous Gout in a Patient on Continuous Ambulatory Peritoneal Dialysis

Yun JH, Kim HY, Kim DH, Oh JS, Kim SM, Sin YH, Kim JK

Hyperuricemic patients with gouty arthritis or tophi, a serum uric acid concentration of 8.0 mg/dL or higher, and complications should be treated with urate-lowering drugs. Conventionally, allopurinol is used to...
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Late Onset Infection of Pneumocystis jirovecii Infection in a Renal Transplant Recipient

Kim DH, Kim HY, Yun JH, Kim DY, Jung HD, Lee JH, Oh JS, Kim SM, Sin YH, Kim JK

Pneumocystis jirovecii pneumonia (PCP) can be a life-threatening opportunistic infection after kidney transplantation, occurring most frequently in the first 12 months with the symptoms of dyspnea, cough, fever, and hypoxia....
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A Case of Squamous Cell Carcinoma in Nasal Cavity Treated with Conversion to Sirolimus in a Patient with Kidney Transplantation

Ryu TH, Choi SH, Jung P, Lee KH, Kim HS, Oh JS, Kim SM, Sin YH, Kim JK

Conversion of immunosuppressants to sirolimus, an inhibitor of mammalian target of rapamycin, is a useful treatment option for prevention of the adverse events of immunosuppressants such as calcineurin inhibitor in...
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Using Sirolimus for Posttransplant Management and Reduction of Tuberous Sclerosis Complex Progression in a Patient with End Stage Renal Disease Caused by Tuberous Sclerosis Complex

Lee KH, Kim HS, Yun SH, Lee JH, Oh JS, Kim SM, Sin YH, Kim JK

Tuberous sclerosis complex (TSC) is a neurocutaneous disease characterized by the formation of hamartomas in multiple organs. TSC can show lesions including facial angiofibroma, shagreen patch on the skin, cortical...
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A Case of Acute Antibody-Mediated Rejection Developed after Pretreatment with Rituximab and Plasma Exchange in a Highly-Sensitized Recipient with a Deceased Donor Kidney

Kim SM, Oh JS, Sin YH, Kim JK, Park JI, Huh K, Kim YJ

  • KMID: 2324219
  • J Korean Soc Transplant.
  • 2012 Jun;26(2):125-130.
Acute antibody-mediated rejection is the major cause of graft failure in the early stage of kidney transplantation. Preoperative treatment and early diagnosis of acute rejection is very important to prevent...
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A Case of Lithium-Induced Nephrogenic Diabetes Insipidus and Rhabdomyolysis

Moh I, Lee YK, Son SY, Sin YH, Lee SM, Lee DH, Noh JW

  • KMID: 2264255
  • Korean J Med.
  • 2012 Mar;82(3):367-370.
A 59-year-old woman was admitted to our hospital with polydipsia and general weakness. She had a 30-year history of bipolar disorder and was being treated with risperidone (4 mg/day) and...
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Acute Renal Failure in a Renal Allograft Recipient Caused by a Post-Biopsy Renal Arteriovenous Fistula with Transplant Renal Artery Stenosis

Lee JH, Lee HR, Choi SH, Jung P, Oh JS, Kim SM, Sin YH, Jung YS, Jung GS, Kim JK

Renal biopsy is an essential diagnostic tool for detecting acute and chronic kidney rejection as well as recurrent and de novo nephropathies in renal allograft recipients. However, a well-known complication...
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Comparison of Heart Rate Variability in Kidney Transplantation and End-Stage Renal Disease Patients on Dialysis

Lee HR, Oh JS, Choi SH, Jung P, Ryu TH, Kim SM, Sin YH, Kim JK, Bae WH, Hong TJ

  • KMID: 2263407
  • Korean J Med.
  • 2012 Nov;83(5):606-612.
BACKGROUND/AIMS: Heart rate variability (HRV) is a method for evaluation of autonomic nervous system activity by expressing the balance of sympathetic and parasympathetic tones. Some studies of HRV in patients...
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Comparison of the Urine Protein to Creatinine Ratio with 24-Hour Urinary Protein Amounts in Patients with Kidney Transplants

Kim SJ, Choi AS, Lee JH, Yu SM, Oh JS, Kim SM, Sin YH, Kim JK

  • KMID: 2263948
  • Korean J Med.
  • 2011 Jul;81(1):82-88.
BACKGROUND/AIMS: Many studies have reported the correlation between the spot urine protein to creatinine (P/C) ratio and 24-hour urinary protein amounts in patients with glomerulonephritis. This correlation has also been...
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A Case of Late Mixed Acute Humoral and Cellular Rejection Successfully Treated with Rituximab, Plasmapheresis and IVIg

Kim SM, Oh JS, Jun JM, Park YK, Sin YH, Kim JK, Huh K, Kim YJ

  • KMID: 2324205
  • J Korean Soc Transplant.
  • 2011 Jun;25(2):116-122.
Acute antibody-mediated rejection (AMR) developing simultaneously with acute cellular rejection has been rarely reported as a long-term complication of renal transplantation, and it can present on top of another chronic...
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Successful Treatment of Vancomycin-Resistant Enterococci Peritonitis with Quinupristin/Dalfopristin in a Patient on Continuous Ambulatory Peritoneal Dialysis

Jung JI, Kim SJ, Ji BH, Oh JS, Kim SM, Sin YH, Kim JK

  • KMID: 2258897
  • Korean J Med.
  • 2011 Jun;80(Suppl 2):S245-S248.
Peritonitis is one of the major complications of continuous ambulatory peritoneal dialysis (CAPD). Multidrug-resistant organisms, including vancomycin-resistant enterococci (VRE), have been reported as pathogens of CAPD-associated peritonitis. The incidence of...
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Reliability of Hemodialysis Adequacy Measured by Ionic Dialysance

Oh JS, Kim SM, Sin YH, Kim JK, Son YK, An WS, Kim SE, Kim KH

  • KMID: 2080182
  • Korean J Nephrol.
  • 2011 May;30(3):278-284.
PURPOSE: Quantification of the dialysis dose is an essential element in the management of hemodialysis. The author investigates the reliability of hemodialysis adequacy measured by ionic dialysance (Online clearance monitoring(R),...
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