NDT Advance Access originally published online on January 18, 2007
Nephrology Dialysis Transplantation 2007 22(4):1027-1029; doi:10.1093/ndt/gfl762
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© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Azathioprine, UV light, and skin cancer in organ transplant patientsdo we have an answer?*
Department of Dermatology, Skin Cancer Center Charité Universitätsmedizin Berlin Schumannstrasse 20-21, 10117 Berlin, Germany
Correspondence and offprint requests to: Prof. Dr E. Stockfleth, Department of Dermatology, Skin Cancer Center Charité, Universitätsmedizin Berlin, Schumannstrasse 20-21, 10117 Berlin, Germany. Email: Eggert.stockfleth@charite.de
Keywords: Azathioprine; organ transplant patients; skin cancer; UV light
| The first 10% of the full text of this article appears below. |
The remarkable story of transplant medicine currently benefits more than 35 000 patients in the EU and US annually [1]. Patient and organ survival time has steadily increased over the years, and according to a recent analysis of 94 934 kidney transplant recipients, the half-life for kidney transplants has nearly doubled from 1988 to 1996 [2].
However, with increasing graft and patient survival, the focus of medical disciplines involved in the aftercare of transplant recipients is shifting towards managing the direct and indirect consequences of chronic immunosuppression [3,4]. The development of cutaneous infections and skin cancers is frequently observed in patients with impaired immunosurveillance, culminating in significant morbidity and even mortality in organ transplant recipients (OTR) [5].
A comprehensive study examining the US-Medicare billing claims of more than 35 765 kidney transplanted patients showed