Cyclosporine-associated thrombotic microangiopathy in renal allografts

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Cyclosporine-associated thrombotic microangiopathy in renal allografts April Zarifian, Suzanne Meleg-Smith, Richard O'Donovan, Raymond J. Tesi, Vechi Batuman  Kidney International  Volume 55, Issue 6, Pages 2457-2466 (June 1999) DOI: 10.1046/j.1523-1755.1999.00492.x Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 1 At the time point of the diagnosis of thrombotic microangiopathy (TMA), the use of immunophilins was as follows: (1) Of 26 renal graft recipients with TMA, 2 patients were on tacrolimus (□) and 24 on cyclosporine (CsA), of which 5 were on Sandimmune® () and 19 were on Neoral® (). (2) Of 24 renal graft recipients with graft dysfunction not resulting from TMA, 5 were on tacrolimus and 19 were on CsA, 2 of which were on Sandimmune and 17 were on Neoral. (3) Of the 19 renal graft recipients who did not have episodes of graft dysfunction, 1 was on tacrolimus and 18 were on CsA, 13 of whom were on Sandimmune and 5 were on Neoral. The difference between column 1 and 3 is statistically significant (chi-square = 9.09, P = 0.0026). Kidney International 1999 55, 2457-2466DOI: (10.1046/j.1523-1755.1999.00492.x) Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 2 The lumen of the arteriole in the upper half of the center of the field is occluded by a fuchsinophilic mass (fibrin thrombus). In contrast, the arteriole in the lower portion of the field contains red blood cells. The interstitium is edematous (×600, trichrome). Kidney International 1999 55, 2457-2466DOI: (10.1046/j.1523-1755.1999.00492.x) Copyright © 1999 International Society of Nephrology Terms and Conditions