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Evaluation and Treatment of Acute Rejection in Kidney Allografts.


ABSTRACT: Advances in immunosuppressive therapy have drastically improved acute rejection rates in kidney transplant recipients over the past five decades. Nevertheless, it should remain high on any differential diagnosis of unexplained graft dysfunction because of the potential negative effect on graft longevity. Understanding the pre- and post-transplant risk factors for acute rejection can help estimate the probability of immunologic graft damage, and accurate identification of the type and severity of acute rejection will guide appropriate treatment. Tissue biopsy remains the gold standard for evaluating immunologic graft damage, and the histologic definition of acute rejection has evolved in recent years. Intravenous steroids and T cell depletion remain the standard therapy for T cell-mediated

SUBMITTER: Cooper JE 

PROVIDER: S-EPMC7057293 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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