Low incidence of lymphoproliferative disease post kidney transplantation with prevalent use of alemtuzumab

Introduction: It is well known that the incidence of malignancy is significantly higher in transplanted patients than in general population. The incidence of lymphoproliferative disease post-transplantation (PTLD) is approximately of 1% to 2% in kidney transplantation recipients. Objective: The main...

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Main Authors: John Fredy Nieto-Ríos, Arbey Aristizabal-Alzate, Catalina Ocampo-Kohn, Juan José Vanegas-Ruiz, Catalina Vélez-Echeverri, Lina María Serna-Higuita, Daniel Camilo Aguirre, Carlos Enrique Yepes-Delgado, Gustavo Zuluaga-Valencia
Format: Article
Language:Spanish
Published: Asociación Regional de Diálisis y Trasplantes Renales de Capital Federal y Provincia de Buenos Aires 2014-01-01
Series:Revista de Nefrología, Diálisis y Trasplante
Subjects:
Online Access:http://www.revistarenal.org.ar/index.php/rndt/article/view/99
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author John Fredy Nieto-Ríos
Arbey Aristizabal-Alzate
Catalina Ocampo-Kohn
Juan José Vanegas-Ruiz
Catalina Vélez-Echeverri
Lina María Serna-Higuita
Daniel Camilo Aguirre
Carlos Enrique Yepes-Delgado
Gustavo Zuluaga-Valencia
author_facet John Fredy Nieto-Ríos
Arbey Aristizabal-Alzate
Catalina Ocampo-Kohn
Juan José Vanegas-Ruiz
Catalina Vélez-Echeverri
Lina María Serna-Higuita
Daniel Camilo Aguirre
Carlos Enrique Yepes-Delgado
Gustavo Zuluaga-Valencia
author_sort John Fredy Nieto-Ríos
collection DOAJ
description Introduction: It is well known that the incidence of malignancy is significantly higher in transplanted patients than in general population. The incidence of lymphoproliferative disease post-transplantation (PTLD) is approximately of 1% to 2% in kidney transplantation recipients. Objective: The main objective of this study was to evaluate the PTLD incidence when monitoring kidney transplanted patients between the years 2005 and 2010. Methods: Kidney transplanted patients’ data was retrospectively taken between the years 2005 to 2010 in order to determine the number of PTLD cases according to the inductor scheme used. Results: 425 patients were transplanted between 2005 and 2010. They received alemtuzumab 76.2%, daclizumab 10.7%, basiliximab 3.6% and thymoglobulin 2.4%. The 7% did not receive antibody induction. During this period 2 cases of PTLD ocurred: One with multiple myeloma and the other with lymphoma. One of them had been treated with alemtuzumab and the other with thymoglobulin. Conclusions: The PTLD incidence in our group, where alemtuzumab was used predominantly as inductor, was very low; this might suggest that alemtuzumab is a medication that does not increase the risk of this kind of neoplasia.
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spelling doaj.art-13772576f35c4813be9753f0f6e1db012022-12-21T23:49:13ZspaAsociación Regional de Diálisis y Trasplantes Renales de Capital Federal y Provincia de Buenos AiresRevista de Nefrología, Diálisis y Trasplante0326-34282346-85482014-01-01341212699Low incidence of lymphoproliferative disease post kidney transplantation with prevalent use of alemtuzumabJohn Fredy Nieto-Ríos0Arbey Aristizabal-Alzate1Catalina Ocampo-Kohn2Juan José Vanegas-Ruiz3Catalina Vélez-Echeverri4Lina María Serna-Higuita5Daniel Camilo Aguirre6Carlos Enrique Yepes-Delgado7Gustavo Zuluaga-Valencia8Sección Nefrología y Trasplante Renal, Hospital Pablo Tobón Uribe, MedellínSección Nefrología y Trasplante Renal, Hospital Pablo Tobón Uribe, MedellínSección Nefrología y Trasplante Renal, Hospital Pablo Tobón Uribe, MedellínSección Nefrología y Trasplante Renal, Hospital Pablo Tobón Uribe, MedellínSección Nefrología y Trasplante Renal, Hospital Pablo Tobón Uribe, MedellínSección Nefrología y Trasplante Renal, Hospital Pablo Tobón Uribe, MedellínInstituto de Investigaciones Médicas, Universidad de Antioquia, AntioquíaSección de investigación, Hospital Pablo Tobón Uribe, MedellínSección Nefrología y Trasplante Renal, Hospital Pablo Tobón Uribe, MedellínIntroduction: It is well known that the incidence of malignancy is significantly higher in transplanted patients than in general population. The incidence of lymphoproliferative disease post-transplantation (PTLD) is approximately of 1% to 2% in kidney transplantation recipients. Objective: The main objective of this study was to evaluate the PTLD incidence when monitoring kidney transplanted patients between the years 2005 and 2010. Methods: Kidney transplanted patients’ data was retrospectively taken between the years 2005 to 2010 in order to determine the number of PTLD cases according to the inductor scheme used. Results: 425 patients were transplanted between 2005 and 2010. They received alemtuzumab 76.2%, daclizumab 10.7%, basiliximab 3.6% and thymoglobulin 2.4%. The 7% did not receive antibody induction. During this period 2 cases of PTLD ocurred: One with multiple myeloma and the other with lymphoma. One of them had been treated with alemtuzumab and the other with thymoglobulin. Conclusions: The PTLD incidence in our group, where alemtuzumab was used predominantly as inductor, was very low; this might suggest that alemtuzumab is a medication that does not increase the risk of this kind of neoplasia.http://www.revistarenal.org.ar/index.php/rndt/article/view/99enfermedad linfoproliferativa post trasplantePTLDtrasplante renalalemtuzumab
spellingShingle John Fredy Nieto-Ríos
Arbey Aristizabal-Alzate
Catalina Ocampo-Kohn
Juan José Vanegas-Ruiz
Catalina Vélez-Echeverri
Lina María Serna-Higuita
Daniel Camilo Aguirre
Carlos Enrique Yepes-Delgado
Gustavo Zuluaga-Valencia
Low incidence of lymphoproliferative disease post kidney transplantation with prevalent use of alemtuzumab
Revista de Nefrología, Diálisis y Trasplante
enfermedad linfoproliferativa post trasplante
PTLD
trasplante renal
alemtuzumab
title Low incidence of lymphoproliferative disease post kidney transplantation with prevalent use of alemtuzumab
title_full Low incidence of lymphoproliferative disease post kidney transplantation with prevalent use of alemtuzumab
title_fullStr Low incidence of lymphoproliferative disease post kidney transplantation with prevalent use of alemtuzumab
title_full_unstemmed Low incidence of lymphoproliferative disease post kidney transplantation with prevalent use of alemtuzumab
title_short Low incidence of lymphoproliferative disease post kidney transplantation with prevalent use of alemtuzumab
title_sort low incidence of lymphoproliferative disease post kidney transplantation with prevalent use of alemtuzumab
topic enfermedad linfoproliferativa post trasplante
PTLD
trasplante renal
alemtuzumab
url http://www.revistarenal.org.ar/index.php/rndt/article/view/99
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