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Nephrol Dial Transplant (2000) 15: 2059-2061
© 2000 European Renal Association-European Dialysis and Transplant Association

Nephroquiz for the Beginner

New-onset anaemia following kidney transplantation

(Section Editor: M. G. Zeier)

G. Meeus1, T. Messiaen1, G. Verhoef2 and Y. Vanrenterghem1

1 Department of Nephrology, Gasthuisberg Hospital, Leuven, Belgium, 2 Department of Hematology Gasthuisberg Hospital, Leuven, Belgium

Case

A 49-year-old Caucasian female underwent a cadaveric renal transplantation in June 1999 because of end-stage renal failure secondary to autosomal dominant polycystic kidney disease, for which she had been treated with chronic haemodialysis since April 1996. Her medical history was otherwise unremarkable. She had never required substitution therapy with erythropoietin. No induction therapy was administered before transplantation. During the transplantation procedure the left native kidney was removed in order to make space for the transplant. The post-transplantation recovery was uneventful and she was discharged on day 14 with a haemoglobin of 9.2 g/dl and a serum creatinine of 1.94 mg/dl. The daily immunosuppressive regimen consisted of methylprednisolone 12 mg, tacrolimus 12 mg and mycophenolate mofetil 1000 mg twice daily. Serum tacrolimus levels were kept between 12 and . . . [Full Text of this Article]

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