Mazouz H, Westeel PF, Hue P, Pietri MA, Bouzernidj M, Gauvin
AC, Petit J, Fournier A
In kidney transplanted patients developing graft renal
artery stenosis erythrosis appears before blood pressure increases
Am Soc Nephrol
J Am Soc Nephrol (abstract)
(Nov) 6:1104 1995
In a retrospective study of 15 transplant recipients who developed renal
artery
stenosis, erythrocytosis was found to be an early indicator. Patients were
evaluated by routine renal Doppler ultrasound every 6 months and clinical
examination every 3 months. Hypertension was not noted at quarterly
determinations prior to ultrasound identification of renal artery stenosis,
whereas Hct was increased 3 months before blood pressure was elevated.
Because
data was not given for patients without renal artery stenosis, the positive
predictive value of erythrocytosis is not known. Three patients who were on
ACE
inhibitors also had erythrocytosis and a rise in creatinine 3 months prior to
recognition of renal artery stenosis.
(Paller)
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Am Soc Nephrol
H: Special problems :
Renal transplant patients
Transplant :
Transplantation