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
Hauptverfasser: TOUSSAINT, C, VIENNE, A, DE PAUW, L, GELIN, M, JANSSEN, F, HALL, M, SCHURMANS, T, PASTEELS, J.-L
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container_end_page 1704
container_issue 12
container_start_page 1700
container_title Transplantation
container_volume 59
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. 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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). 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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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