Combined liver-kidney transplantation in primary hyperoxaluria type 1 : bone histopathology and oxalate body content
In three patients with end-stage renal failure due to primary hyperoxaluria type 1, successful combined liver-kidney transplantation enabled us to assess the insoluble oxalate pool, which was compared with the histopathological changes observed in iliac crest biopsy specimens. Good correlation was o...
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Veröffentlicht in: | Transplantation 1995-06, Vol.59 (12), p.1700-1704 |
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creator | TOUSSAINT, C VIENNE, A DE PAUW, L GELIN, M JANSSEN, F HALL, M SCHURMANS, T PASTEELS, J.-L |
description | In three patients with end-stage renal failure due to primary hyperoxaluria type 1, successful combined liver-kidney transplantation enabled us to assess the insoluble oxalate pool, which was compared with the histopathological changes observed in iliac crest biopsy specimens. Good correlation was observed between the histopathological grade of bone oxalosis and the estimated oxalate content of the body. In the end-stage of oxalate bone disease, hyperparathyroidism does not play a significant role in bone resorption, which appears to be the consequence of the granulomatous reaction induced by oxalate deposition. Combined liver-kidney transplantation should be performed long before this stage. Early hepatorenal grafting in uremia secondary to primary hyperoxaluria type 1 would avoid the deleterious clinical consequences of systemic oxalosis and shorten the duration of postransplant hyperoxaluria, which may compromise the course of kidney graft. |
doi_str_mv | 10.1097/00007890-199506270-00010 |
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Good correlation was observed between the histopathological grade of bone oxalosis and the estimated oxalate content of the body. In the end-stage of oxalate bone disease, hyperparathyroidism does not play a significant role in bone resorption, which appears to be the consequence of the granulomatous reaction induced by oxalate deposition. Combined liver-kidney transplantation should be performed long before this stage. Early hepatorenal grafting in uremia secondary to primary hyperoxaluria type 1 would avoid the deleterious clinical consequences of systemic oxalosis and shorten the duration of postransplant hyperoxaluria, which may compromise the course of kidney graft.</description><identifier>ISSN: 0041-1337</identifier><identifier>EISSN: 1534-6080</identifier><identifier>DOI: 10.1097/00007890-199506270-00010</identifier><identifier>PMID: 7604440</identifier><identifier>CODEN: TRPLAU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Adolescent ; Biological and medical sciences ; Biopsy ; Bone and Bones - metabolism ; Bone and Bones - pathology ; Calcium Oxalate - metabolism ; Child, Preschool ; Female ; Humans ; Hyperoxaluria - metabolism ; Hyperoxaluria - pathology ; Hyperoxaluria - surgery ; Infant ; Kidney Transplantation ; Liver Transplantation ; Male ; Medical sciences ; Oxalates - metabolism ; Oxalates - urine ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system</subject><ispartof>Transplantation, 1995-06, Vol.59 (12), p.1700-1704</ispartof><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3601748$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7604440$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TOUSSAINT, C</creatorcontrib><creatorcontrib>VIENNE, A</creatorcontrib><creatorcontrib>DE PAUW, L</creatorcontrib><creatorcontrib>GELIN, M</creatorcontrib><creatorcontrib>JANSSEN, F</creatorcontrib><creatorcontrib>HALL, M</creatorcontrib><creatorcontrib>SCHURMANS, T</creatorcontrib><creatorcontrib>PASTEELS, J.-L</creatorcontrib><title>Combined liver-kidney transplantation in primary hyperoxaluria type 1 : bone histopathology and oxalate body content</title><title>Transplantation</title><addtitle>Transplantation</addtitle><description>In three patients with end-stage renal failure due to primary hyperoxaluria type 1, successful combined liver-kidney transplantation enabled us to assess the insoluble oxalate pool, which was compared with the histopathological changes observed in iliac crest biopsy specimens. Good correlation was observed between the histopathological grade of bone oxalosis and the estimated oxalate content of the body. In the end-stage of oxalate bone disease, hyperparathyroidism does not play a significant role in bone resorption, which appears to be the consequence of the granulomatous reaction induced by oxalate deposition. Combined liver-kidney transplantation should be performed long before this stage. Early hepatorenal grafting in uremia secondary to primary hyperoxaluria type 1 would avoid the deleterious clinical consequences of systemic oxalosis and shorten the duration of postransplant hyperoxaluria, which may compromise the course of kidney graft.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Bone and Bones - metabolism</subject><subject>Bone and Bones - pathology</subject><subject>Calcium Oxalate - metabolism</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperoxaluria - metabolism</subject><subject>Hyperoxaluria - pathology</subject><subject>Hyperoxaluria - surgery</subject><subject>Infant</subject><subject>Kidney Transplantation</subject><subject>Liver Transplantation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Oxalates - metabolism</subject><subject>Oxalates - urine</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><issn>0041-1337</issn><issn>1534-6080</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMFu3CAURVGVaDpJ-gmRWFTZOX3PMMZ0V43SpFKkbpq1hQFnSDzgAlPFf1-mcYcNgnse6B5CKMItghRfoCzRSqhQyg00tYCq3CB8IGvcMF410MIZWQNwrJAx8ZFcpPRSkA0TYkVWogHOOaxJ3oZ977w1dHR_bKxenfF2pjkqn6ZR-ayyC546T6fo9irOdDdPNoY3NR6iUzSXE0X6lfbBW7pzKYdJ5V0Yw_NMlTf0SKpsS25mqoPP1ucrcj6oMdlPy35Jnr7f_do-VI8_739svz1WGhlCpcRG84b3g2EaUQxDzblEbPp-AI2lfwtCi0FLqEFJMFhIgFbVyE3dGMkuyc37u1MMvw825W7vkrZj6WXDIXVCFBuyxgK276COIaVoh25p2yF0R-Hdf-HdSXj3T3gZvV7-OPR7a06Di-GSf15ylbQahyJWu3TCWAMoeMv-ApYSibY</recordid><startdate>19950627</startdate><enddate>19950627</enddate><creator>TOUSSAINT, C</creator><creator>VIENNE, A</creator><creator>DE PAUW, L</creator><creator>GELIN, M</creator><creator>JANSSEN, F</creator><creator>HALL, M</creator><creator>SCHURMANS, T</creator><creator>PASTEELS, J.-L</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19950627</creationdate><title>Combined liver-kidney transplantation in primary hyperoxaluria type 1 : bone histopathology and oxalate body content</title><author>TOUSSAINT, C ; VIENNE, A ; DE PAUW, L ; GELIN, M ; JANSSEN, F ; HALL, M ; SCHURMANS, T ; PASTEELS, J.-L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1310-a75c464bfd3c117ff2449116bbf0c1078807c7fc9020a90d1bfd008a214d26d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Bone and Bones - metabolism</topic><topic>Bone and Bones - pathology</topic><topic>Calcium Oxalate - metabolism</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperoxaluria - metabolism</topic><topic>Hyperoxaluria - pathology</topic><topic>Hyperoxaluria - surgery</topic><topic>Infant</topic><topic>Kidney Transplantation</topic><topic>Liver Transplantation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Oxalates - metabolism</topic><topic>Oxalates - urine</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TOUSSAINT, C</creatorcontrib><creatorcontrib>VIENNE, A</creatorcontrib><creatorcontrib>DE PAUW, L</creatorcontrib><creatorcontrib>GELIN, M</creatorcontrib><creatorcontrib>JANSSEN, F</creatorcontrib><creatorcontrib>HALL, M</creatorcontrib><creatorcontrib>SCHURMANS, T</creatorcontrib><creatorcontrib>PASTEELS, J.-L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TOUSSAINT, C</au><au>VIENNE, A</au><au>DE PAUW, L</au><au>GELIN, M</au><au>JANSSEN, F</au><au>HALL, M</au><au>SCHURMANS, T</au><au>PASTEELS, J.-L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined liver-kidney transplantation in primary hyperoxaluria type 1 : bone histopathology and oxalate body content</atitle><jtitle>Transplantation</jtitle><addtitle>Transplantation</addtitle><date>1995-06-27</date><risdate>1995</risdate><volume>59</volume><issue>12</issue><spage>1700</spage><epage>1704</epage><pages>1700-1704</pages><issn>0041-1337</issn><eissn>1534-6080</eissn><coden>TRPLAU</coden><abstract>In three patients with end-stage renal failure due to primary hyperoxaluria type 1, successful combined liver-kidney transplantation enabled us to assess the insoluble oxalate pool, which was compared with the histopathological changes observed in iliac crest biopsy specimens. Good correlation was observed between the histopathological grade of bone oxalosis and the estimated oxalate content of the body. In the end-stage of oxalate bone disease, hyperparathyroidism does not play a significant role in bone resorption, which appears to be the consequence of the granulomatous reaction induced by oxalate deposition. Combined liver-kidney transplantation should be performed long before this stage. Early hepatorenal grafting in uremia secondary to primary hyperoxaluria type 1 would avoid the deleterious clinical consequences of systemic oxalosis and shorten the duration of postransplant hyperoxaluria, which may compromise the course of kidney graft.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>7604440</pmid><doi>10.1097/00007890-199506270-00010</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Biological and medical sciences Biopsy Bone and Bones - metabolism Bone and Bones - pathology Calcium Oxalate - metabolism Child, Preschool Female Humans Hyperoxaluria - metabolism Hyperoxaluria - pathology Hyperoxaluria - surgery Infant Kidney Transplantation Liver Transplantation Male Medical sciences Oxalates - metabolism Oxalates - urine Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system |
title | Combined liver-kidney transplantation in primary hyperoxaluria type 1 : bone histopathology and oxalate body content |
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