Korean J Intern Med.
2005 Mar;20(1):92-95. 10.3904/kjim.2005.20.1.92.
Renal Transplantation in a Patient with Idiopathic Thrombocytopenic Purpura
- Affiliations
-
- 1Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. yangch@catholic.ac.kr
- 2Department of Surgery, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
- KMID: 1776705
- DOI: http://doi.org/10.3904/kjim.2005.20.1.92
Abstract
- The combination of idiopathic thrombocytopenic purpura (ITP) and chronic renal failure (CRF) is uncommon. This report highlights a case of renal transplantation in a patient with ITP. A 35-year-old man with ITP was admitted with uremic symptoms. A renal transplant and splenectomy was simultaneously performed. A prophylactic pneumococcous vaccination was performed and intravenous immunoglobulin (1 g/kg) was administered before and after the operation. The patient's platelet count increased gradually after the splenectomy. During a two-year follow up period, the graft function was well maintained. Renal transplantation in a patient with ITP is recommended with a well-designed strategy to prevent potential complications.
