RUSSELL H. WIESNER, M. D. , JURGEN LUDWIG, M. D. , RUUD A. F. KROM, M

Slides:



Advertisements
Similar presentations
My Treatment Approach to Hairy Cell Leukemia Rahul R. Naik, MD, Alan Saven, MD Mayo Clinic Proceedings Volume 87, Issue 1, Pages (January 2012) DOI:
Advertisements

Epidemiology of Dementia in Rochester, Minnesota
Managing Cancer Pain: Basic Principles and Invasive Treatments
55-Year-Old Man With Anemia and Hemorrhagic Ascites
Kayser-Fleischer Rings in a Patient With Basal Cell Carcinoma: Fortuitous Diagnosis of Presymptomatic Wilson's Disease  DAVID G. BRODLAND, M.D.  Mayo.
Evaluation of Proteinuria
De Novo Systemic Vasculitis in a Renal Transplant Recipient
Diagnostic Options for Assessment of Postmenopausal Bleeding
ELLEN K. BLAIR, M.D.  Mayo Clinic Proceedings 
Nonsteroidal Anti-Inflammatory Drug-Induced Enteropathy: Case Discussion and Review of the Literature  Paul Y. Kwo, M.D., William J. Tremaine, M.D.  Mayo.
William L. Lanier, MD  Mayo Clinic Proceedings 
Mark A. Nyman, M.D., Nina M. Schwenk, M.D., Marc D. Silverstein, M.D. 
THOMAS C. LEE, M.D., C. CHRISTOPHER HOOK, M.D., HARRY J. LONG, M.D. 
A Comparison of Long- and Short-Acting Opioids for the Treatment of Chronic Noncancer Pain: Tailoring Therapy to Meet Patient Needs  Charles E. Argoff,
Treatment of Alcohol Withdrawal in Hospitalized Patients
Obsessive Compulsive Disorder: A Clinical Update
Michele A. Hanson, M.D., Daniel A. Dumesic, M.D. 
Peripheral Arterial Disease: Diagnosis and Management
Corticosteroids in the Treatment of Alcohol-Induced Rhabdomyolysis
George Dailey, MD  Mayo Clinic Proceedings 
Hepatic Cysts in Autosomal Dominant Polycystic Kidney Disease
Recent Advances in Liver Transplantation
Hepatopulmonary Syndrome With Progressive Hypoxemia as an Indication for Liver Transplantation: Case Reports and Literature Review  Michael J. Krowka,
JOANNE H. VAN WOERT, M.D.  Mayo Clinic Proceedings 
Pulmonary Infiltrates and Eosinophilia Associated With Sulfasalazine
Palliative Care and Hospice Programs
Deep Venous Thrombosis of the Arm After Intravenous Immunoglobulin Infusion: Case Report and Literature Review of Intravenous Immunoglobulin-Related Thrombotic.
RICHARD K. WINKELMANN, M.D., Ph.D., J. CLARKE STEVENS, M.D. 
Cyclosporine in the Treatment of Dermatologic Disease: An Update
Vascularized Composite Allotransplant in the Realm of Regenerative Plastic Surgery  Harvey Chim, MD, Hatem Amer, MD, Samir Mardini, MD, Steven L. Moran,
Hepatic Cysts in Autosomal Dominant Polycystic Kidney Disease
Gerry H. Tan, M.D., Roger L. Nelson, M.D.  Mayo Clinic Proceedings 
The Melanoma Epidemic Thus Far
Oxygen-Exacerbated Bleomycin Pulmonary Toxicity
Sirolimus for acute pemphigus vulgaris: A case report and discussion of dualistic action providing for both immunosuppression and keratinocyte protection 
Lip and oral mucosal lesions in 100 renal transplant recipients
A prospective trial of tacrolimus (FK 506) in clinical heart transplantation: Intermediate- term results  Si M. Pham, MDa §, Robert L. Kormos, MDa, Brack.
Photodynamic Therapy for Early Stage Central Type of Lung Cancer
Medical management of osteoarthritis
MIGUEL A. VALDOVINOS, M. D. , MICHAEL CAMILLERI, M. D. , BRUCE R
Dysarthria and Apraxia of Speech Associated With FK-506(Tacrolimus)
Treatment of Carcinoma of the Esophagus or Cardia*
Refurbishing Mayo Clinic Proceedings:
Epidemiology of Dementia in Rochester, Minnesota
Antidepressants and Brain Neurochemistry
Overcoming Barriers to Long-Term Graft Survival
Renal Pyelocalyceal Squamous Cell Carcinoma
Evaluation and Management of Penicillin Allergy
The Blindness of John Milton
Cyclophosphamide-Induced Hepatitis in Wegener's Granulomatosis
Simon M. Glynn, MD, Sean J. Pittock, MD, Steven A. Vernino, MD, PhD 
Hepatocellular Carcinoma
68-Year-Old Man With Impotence
Pancreatic Tumor in a Patient With Parathyroid and Pituitary Disease
Hepatitis C Genotypes: Current Trends and Future Implications
Behram A. Khan, MD, Conrad Deel, MD, Richard N. Hellman, MD 
Medical Treatment of Overactive Bladder: In Response
Mark A. Marinella, MD, Kenneth Greene, MD  Mayo Clinic Proceedings 
Protein-Losing Enteropathy After the Fontan Operation: Successful Treatment by Percutaneous Fenestration of the Atrial Septum  Carole A. Warnes, M.D.,
Preoperative Smoking Cessation: The Role of the Primary Care Provider
Current Concepts in Laboratory Testing to Guide Antimicrobial Therapy
Guy S. Reeder, M.D.  Mayo Clinic Proceedings 
Idiopathic Intracranial Hypertension
Managing Cancer Pain: Basic Principles and Invasive Treatments
LINDA S. SNYDER, M.D., RUSSELL I. HEIGH, M.D., MONTE L. ANDERSON, M.D. 
Hematopoietic Cell Transplantation for Adult Patients With Myelodysplastic Syndromes and Myeloproliferative Disorders  Martin Benesch, MD, H. Joachim.
LON J. LUTZ, M.D., TIM J. LAMER, M.D.  Mayo Clinic Proceedings 
Acute and Chronic Seizures in Patients Older Than 60 Years
Mayo Clinic Proceedings 2012: “A New Era in Journal Stewardship”
Managing the Complications of Cirrhosis
Presentation transcript:

Hepatic Allograft Rejection: New Developments in Terminology, Diagnosis, Prevention, and Treatment  RUSSELL H. WIESNER, M.D., JURGEN LUDWIG, M.D., RUUD A.F. KROM, M.D., Ph.D., J. EILEEN HAY, M.D., BART VAN HOEK, M.D.  Mayo Clinic Proceedings  Volume 68, Issue 1, Pages 69-79 (January 1993) DOI: 10.1016/S0025-6196(12)60022-6 Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Incidence of cellular and ductopenic rejection among Mayo Clinic patients who underwent liver transplantation, stratified by various combinations of induction immunosuppression. ALG = antilymphocyte globulin; Aza = azathioprine; CyA = cyclosporine; Pred = prednisone. Mayo Clinic Proceedings 1993 68, 69-79DOI: (10.1016/S0025-6196(12)60022-6) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Comparison of incidence and timing of rejection after liver transplantation when induction immunosuppression consisted of OKT3 versus triple-drug therapy with cyclosporine (CyA), prednisone (Pred), and azathioprine (Aza). (From Cosimi and associates.38 By permission of the American Medical Association.) Mayo Clinic Proceedings 1993 68, 69-79DOI: (10.1016/S0025-6196(12)60022-6) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Effects of FK-506 and cyclosporine on renal function in recipients of liver transplants. Mayo Clinic Proceedings 1993 68, 69-79DOI: (10.1016/S0025-6196(12)60022-6) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Incidence of hypertension associated with FK-506 and cyclosporine therapy in recipients of liver transplants. (Modified from Tzakis AG, Reyes J, Todo S, Green M, Ohya T, Jain A, et al. FK-506 versus cyclosporine in pediatric liver transplantation. Transplant Proc 1991; 23:3010-3015. By permission of Appleton & Lange.) Mayo Clinic Proceedings 1993 68, 69-79DOI: (10.1016/S0025-6196(12)60022-6) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 5 Incidence of corticosteroid-resistant and OKT3-resistant hepatic allograft rejection based on dose and route of corticosteroid therapy for initial episode of rejection. Groups 1 and 2 versus group 3, P<0.01. MP = methylprednisolone (intravenous administration); Pred = prednisone (oral administration). Mayo Clinic Proceedings 1993 68, 69-79DOI: (10.1016/S0025-6196(12)60022-6) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions