Glomerular disease during HCV infection in renal transplantation
In general nephrology, HCV infection has been associated with type I membranoproliferative glomerulonephritis (MPGN type I) associated with cryoglobulinaemia. In a cohort of 399 renal transplantation (RT) recipients, 117 of whom (29%) were HCV-positive, we selected all patients diagnosed as having m...
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Veröffentlicht in: | Nephrology, dialysis, transplantation dialysis, transplantation, 1996, Vol.11 (supp4), p.54-55 |
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description | In general nephrology, HCV infection has been associated with type I membranoproliferative glomerulonephritis (MPGN type I) associated with cryoglobulinaemia. In a cohort of 399 renal transplantation (RT) recipients, 117 of whom (29%) were HCV-positive, we selected all patients diagnosed as having membranous GN or type I MPGN by graft biopsy. The prevalence of MGN was 16/399 (4%) with three recurrences, and 13 de novo cases. Only 5/16 (31%) were HCV+, not different from the general RT population. Five patients had an outcome of graft failure after 43 months. Conversely, there were 15 cases of type I MPGN (two recurrences, 13 de novo) but with eight HCV+ recipients (53%, P = 0.02). Considering only the French patients, prevalence was 44% vs 12% in the French RT population (P = 0.006). Eight patients had graft rejection after 59 months (five HCV+). In this type I MPGN subgroup, there were two positive cryoglobulins, two rheumatoid factors and four hypocomplementaemias. In conclusion, there is a clear association between HCV infection and the occurrence of type I MPGN in the allograft in renal transplantation, with terminal renal failure as an outcome. |
doi_str_mv | 10.1093/ndt/11.supp4.54 |
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P ; BERTHOUX, P ; BERTHOUX, F</creator><creatorcontrib>HAMMOUD, H ; HAEM, J ; LAURENT, B ; ALAMARTINE, E ; DIAB, N ; DEFILIPPIS, J. P ; BERTHOUX, P ; BERTHOUX, F</creatorcontrib><description>In general nephrology, HCV infection has been associated with type I membranoproliferative glomerulonephritis (MPGN type I) associated with cryoglobulinaemia. In a cohort of 399 renal transplantation (RT) recipients, 117 of whom (29%) were HCV-positive, we selected all patients diagnosed as having membranous GN or type I MPGN by graft biopsy. The prevalence of MGN was 16/399 (4%) with three recurrences, and 13 de novo cases. Only 5/16 (31%) were HCV+, not different from the general RT population. Five patients had an outcome of graft failure after 43 months. Conversely, there were 15 cases of type I MPGN (two recurrences, 13 de novo) but with eight HCV+ recipients (53%, P = 0.02). Considering only the French patients, prevalence was 44% vs 12% in the French RT population (P = 0.006). Eight patients had graft rejection after 59 months (five HCV+). In this type I MPGN subgroup, there were two positive cryoglobulins, two rheumatoid factors and four hypocomplementaemias. In conclusion, there is a clear association between HCV infection and the occurrence of type I MPGN in the allograft in renal transplantation, with terminal renal failure as an outcome.</description><identifier>ISSN: 0931-0509</identifier><identifier>EISSN: 1460-2385</identifier><identifier>DOI: 10.1093/ndt/11.supp4.54</identifier><identifier>PMID: 8918756</identifier><identifier>CODEN: NDTREA</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adolescent ; Adult ; Aged ; Antibodies, Viral - analysis ; Biological and medical sciences ; Biopsy ; Child ; Cryoglobulinemia - epidemiology ; Cryoglobulinemia - etiology ; Cryoglobulinemia - pathology ; Enzyme-Linked Immunosorbent Assay ; Female ; Follow-Up Studies ; Glomerulonephritis, Membranoproliferative - epidemiology ; Glomerulonephritis, Membranoproliferative - etiology ; Glomerulonephritis, Membranoproliferative - pathology ; Hepacivirus - genetics ; Hepacivirus - immunology ; Hepatitis C - complications ; Humans ; Kidney Transplantation ; Male ; Medical sciences ; Middle Aged ; Polymerase Chain Reaction ; Prevalence ; Prognosis ; Recurrence ; Renal Insufficiency - epidemiology ; Renal Insufficiency - etiology ; Retrospective Studies ; RNA, Viral - analysis ; Surgery (general aspects). 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P</creatorcontrib><creatorcontrib>BERTHOUX, P</creatorcontrib><creatorcontrib>BERTHOUX, F</creatorcontrib><title>Glomerular disease during HCV infection in renal transplantation</title><title>Nephrology, dialysis, transplantation</title><addtitle>Nephrol Dial Transplant</addtitle><description>In general nephrology, HCV infection has been associated with type I membranoproliferative glomerulonephritis (MPGN type I) associated with cryoglobulinaemia. In a cohort of 399 renal transplantation (RT) recipients, 117 of whom (29%) were HCV-positive, we selected all patients diagnosed as having membranous GN or type I MPGN by graft biopsy. The prevalence of MGN was 16/399 (4%) with three recurrences, and 13 de novo cases. Only 5/16 (31%) were HCV+, not different from the general RT population. Five patients had an outcome of graft failure after 43 months. Conversely, there were 15 cases of type I MPGN (two recurrences, 13 de novo) but with eight HCV+ recipients (53%, P = 0.02). Considering only the French patients, prevalence was 44% vs 12% in the French RT population (P = 0.006). Eight patients had graft rejection after 59 months (five HCV+). In this type I MPGN subgroup, there were two positive cryoglobulins, two rheumatoid factors and four hypocomplementaemias. In conclusion, there is a clear association between HCV infection and the occurrence of type I MPGN in the allograft in renal transplantation, with terminal renal failure as an outcome.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Antibodies, Viral - analysis</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Child</subject><subject>Cryoglobulinemia - epidemiology</subject><subject>Cryoglobulinemia - etiology</subject><subject>Cryoglobulinemia - pathology</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glomerulonephritis, Membranoproliferative - epidemiology</subject><subject>Glomerulonephritis, Membranoproliferative - etiology</subject><subject>Glomerulonephritis, Membranoproliferative - pathology</subject><subject>Hepacivirus - genetics</subject><subject>Hepacivirus - immunology</subject><subject>Hepatitis C - complications</subject><subject>Humans</subject><subject>Kidney Transplantation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Polymerase Chain Reaction</subject><subject>Prevalence</subject><subject>Prognosis</subject><subject>Recurrence</subject><subject>Renal Insufficiency - epidemiology</subject><subject>Renal Insufficiency - etiology</subject><subject>Retrospective Studies</subject><subject>RNA, Viral - analysis</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><issn>0931-0509</issn><issn>1460-2385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kD1PwzAQhi0EKqUwMyFlQGxpfbGd2BuoghapEguwWo59QUH5wk4G_j0urTrdSe9zr04PIbdAl0AVW3VuXAEswzQMfCn4GZkDz2maMSnOyTwSkFJB1SW5CuGbUqqyopiRmVQgC5HPyeOm6Vv0U2N84uqAJmDiJl93X8l2_ZnUXYV2rPsubonHzjTJ6E0XhsZ0o9kH1-SiMk3Am-NckI-X5_f1Nt29bV7XT7vUsjwbUyktYG4F5KV0zokSS15ZIazLFecclSwpAIMCKMTHuDJSlgKtYVxVmUS2IA-H3sH3PxOGUbd1sNjER7Cfgi6k4JkUeQRXB9D6PgSPlR583Rr_q4HqvTMdnWkA_e9MCx4v7o7VU9miO_FHSTG_P-YmWNNUUYCtwwljGaegGPsD5D92KA</recordid><startdate>1996</startdate><enddate>1996</enddate><creator>HAMMOUD, H</creator><creator>HAEM, J</creator><creator>LAURENT, B</creator><creator>ALAMARTINE, E</creator><creator>DIAB, N</creator><creator>DEFILIPPIS, J. P</creator><creator>BERTHOUX, P</creator><creator>BERTHOUX, F</creator><general>Oxford University Press</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>1996</creationdate><title>Glomerular disease during HCV infection in renal transplantation</title><author>HAMMOUD, H ; HAEM, J ; LAURENT, B ; ALAMARTINE, E ; DIAB, N ; DEFILIPPIS, J. P ; BERTHOUX, P ; BERTHOUX, F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-88c1e6c516b8ddd5beb4fc55cd69444e98b01131710175649a88b5eca349f28e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Antibodies, Viral - analysis</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Child</topic><topic>Cryoglobulinemia - epidemiology</topic><topic>Cryoglobulinemia - etiology</topic><topic>Cryoglobulinemia - pathology</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glomerulonephritis, Membranoproliferative - epidemiology</topic><topic>Glomerulonephritis, Membranoproliferative - etiology</topic><topic>Glomerulonephritis, Membranoproliferative - pathology</topic><topic>Hepacivirus - genetics</topic><topic>Hepacivirus - immunology</topic><topic>Hepatitis C - complications</topic><topic>Humans</topic><topic>Kidney Transplantation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Polymerase Chain Reaction</topic><topic>Prevalence</topic><topic>Prognosis</topic><topic>Recurrence</topic><topic>Renal Insufficiency - epidemiology</topic><topic>Renal Insufficiency - etiology</topic><topic>Retrospective Studies</topic><topic>RNA, Viral - analysis</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>HAMMOUD, H</creatorcontrib><creatorcontrib>HAEM, J</creatorcontrib><creatorcontrib>LAURENT, B</creatorcontrib><creatorcontrib>ALAMARTINE, E</creatorcontrib><creatorcontrib>DIAB, N</creatorcontrib><creatorcontrib>DEFILIPPIS, J. P</creatorcontrib><creatorcontrib>BERTHOUX, P</creatorcontrib><creatorcontrib>BERTHOUX, F</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>Nephrology, dialysis, transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HAMMOUD, H</au><au>HAEM, J</au><au>LAURENT, B</au><au>ALAMARTINE, E</au><au>DIAB, N</au><au>DEFILIPPIS, J. P</au><au>BERTHOUX, P</au><au>BERTHOUX, F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Glomerular disease during HCV infection in renal transplantation</atitle><jtitle>Nephrology, dialysis, transplantation</jtitle><addtitle>Nephrol Dial Transplant</addtitle><date>1996</date><risdate>1996</risdate><volume>11</volume><issue>supp4</issue><spage>54</spage><epage>55</epage><pages>54-55</pages><issn>0931-0509</issn><eissn>1460-2385</eissn><coden>NDTREA</coden><abstract>In general nephrology, HCV infection has been associated with type I membranoproliferative glomerulonephritis (MPGN type I) associated with cryoglobulinaemia. In a cohort of 399 renal transplantation (RT) recipients, 117 of whom (29%) were HCV-positive, we selected all patients diagnosed as having membranous GN or type I MPGN by graft biopsy. The prevalence of MGN was 16/399 (4%) with three recurrences, and 13 de novo cases. Only 5/16 (31%) were HCV+, not different from the general RT population. Five patients had an outcome of graft failure after 43 months. Conversely, there were 15 cases of type I MPGN (two recurrences, 13 de novo) but with eight HCV+ recipients (53%, P = 0.02). Considering only the French patients, prevalence was 44% vs 12% in the French RT population (P = 0.006). Eight patients had graft rejection after 59 months (five HCV+). In this type I MPGN subgroup, there were two positive cryoglobulins, two rheumatoid factors and four hypocomplementaemias. In conclusion, there is a clear association between HCV infection and the occurrence of type I MPGN in the allograft in renal transplantation, with terminal renal failure as an outcome.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>8918756</pmid><doi>10.1093/ndt/11.supp4.54</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
subjects | Adolescent Adult Aged Antibodies, Viral - analysis Biological and medical sciences Biopsy Child Cryoglobulinemia - epidemiology Cryoglobulinemia - etiology Cryoglobulinemia - pathology Enzyme-Linked Immunosorbent Assay Female Follow-Up Studies Glomerulonephritis, Membranoproliferative - epidemiology Glomerulonephritis, Membranoproliferative - etiology Glomerulonephritis, Membranoproliferative - pathology Hepacivirus - genetics Hepacivirus - immunology Hepatitis C - complications Humans Kidney Transplantation Male Medical sciences Middle Aged Polymerase Chain Reaction Prevalence Prognosis Recurrence Renal Insufficiency - epidemiology Renal Insufficiency - etiology Retrospective Studies RNA, Viral - analysis Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system |
title | Glomerular disease during HCV infection in renal transplantation |
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