Fenómeno de acomodación inmunológica: Trasplante hepático ABO incompatible. Caso clínico

We report a 33 year-old female with a diagnosis of halothane-induce fulminant hepatic failure who was subjected to a liver transplant with an ABO-incompatible graft. The patient received a therapeutic protocol that included total plasma exchange, splenectomy and quadruple immunosuppression. After 5...

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Autores principales:	Castro,Lorena, Yarur,Andrés, Segovia,Roberto, Ponce,Rodrigo, Uribe,Mario, Ferrario,Mario, Buckel,Erwin, Iturriaga,Hernán
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2009
Materias:	ABO Blood-group system Allergy and Immunology Liver transplantation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800010
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spelling	oai:scielo:S0034-988720090008000102009-11-04Fenómeno de acomodación inmunológica: Trasplante hepático ABO incompatible. Caso clínicoCastro,LorenaYarur,AndrésSegovia,RobertoPonce,RodrigoUribe,MarioFerrario,MarioBuckel,ErwinIturriaga,Hernán ABO Blood-group system Allergy and Immunology Liver transplantation We report a 33 year-old female with a diagnosis of halothane-induce fulminant hepatic failure who was subjected to a liver transplant with an ABO-incompatible graft. The patient received a therapeutic protocol that included total plasma exchange, splenectomy and quadruple immunosuppression. After 5 years, the patient remains asymptomatic and with normal liver enzymes, while she has been treated with low dose of immunosuppressive drugs. This case demonstrates an example of how the immunological process of accomodation opens the possibility of using ABO-incompatible organs as a definitive grafts.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.8 20092009-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800010es10.4067/S0034-98872009000800010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	ABO Blood-group system Allergy and Immunology Liver transplantation
spellingShingle	ABO Blood-group system Allergy and Immunology Liver transplantation Castro,Lorena Yarur,Andrés Segovia,Roberto Ponce,Rodrigo Uribe,Mario Ferrario,Mario Buckel,Erwin Iturriaga,Hernán Fenómeno de acomodación inmunológica: Trasplante hepático ABO incompatible. Caso clínico
description	We report a 33 year-old female with a diagnosis of halothane-induce fulminant hepatic failure who was subjected to a liver transplant with an ABO-incompatible graft. The patient received a therapeutic protocol that included total plasma exchange, splenectomy and quadruple immunosuppression. After 5 years, the patient remains asymptomatic and with normal liver enzymes, while she has been treated with low dose of immunosuppressive drugs. This case demonstrates an example of how the immunological process of accomodation opens the possibility of using ABO-incompatible organs as a definitive grafts.
author	Castro,Lorena Yarur,Andrés Segovia,Roberto Ponce,Rodrigo Uribe,Mario Ferrario,Mario Buckel,Erwin Iturriaga,Hernán
author_facet	Castro,Lorena Yarur,Andrés Segovia,Roberto Ponce,Rodrigo Uribe,Mario Ferrario,Mario Buckel,Erwin Iturriaga,Hernán
author_sort	Castro,Lorena
title	Fenómeno de acomodación inmunológica: Trasplante hepático ABO incompatible. Caso clínico
title_short	Fenómeno de acomodación inmunológica: Trasplante hepático ABO incompatible. Caso clínico
title_full	Fenómeno de acomodación inmunológica: Trasplante hepático ABO incompatible. Caso clínico
title_fullStr	Fenómeno de acomodación inmunológica: Trasplante hepático ABO incompatible. Caso clínico
title_full_unstemmed	Fenómeno de acomodación inmunológica: Trasplante hepático ABO incompatible. Caso clínico
title_sort	fenómeno de acomodación inmunológica: trasplante hepático abo incompatible. caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800010
work_keys_str_mv	AT castrolorena fenomenodeacomodacioninmunologicatrasplantehepaticoaboincompatiblecasoclinico AT yarurandres fenomenodeacomodacioninmunologicatrasplantehepaticoaboincompatiblecasoclinico AT segoviaroberto fenomenodeacomodacioninmunologicatrasplantehepaticoaboincompatiblecasoclinico AT poncerodrigo fenomenodeacomodacioninmunologicatrasplantehepaticoaboincompatiblecasoclinico AT uribemario fenomenodeacomodacioninmunologicatrasplantehepaticoaboincompatiblecasoclinico AT ferrariomario fenomenodeacomodacioninmunologicatrasplantehepaticoaboincompatiblecasoclinico AT buckelerwin fenomenodeacomodacioninmunologicatrasplantehepaticoaboincompatiblecasoclinico AT iturriagahernan fenomenodeacomodacioninmunologicatrasplantehepaticoaboincompatiblecasoclinico
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Fenómeno de acomodación inmunológica: Trasplante hepático ABO incompatible. Caso clínico

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