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Kidney Transplant Rejection
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Kidney Transplant Rejection

The photograph shows an interlobar artery with marked inflammation of the intima (arrow).
Inflammatory cells are also present in the muscular media (M) and the surrounding adventitia.
(Description By:H. Yamase, M.D. )
(Image Contrib. by: UCHC )
Acute Transplant Rejection
Etiology

The etiology of organ transplant rejection is complex, basically immunological.
Pathogenesis

The pathogenic mechanisms are complex, basically immunological.,
Epidemiology

Transplanted kidney is recognized as foreign by the patient's immune system.
General Gross Description

Grossly, the kidney may vary from unremarkable to necrotic, depending on the extent and stage.
General Microscopic Description

The most characteristic changes involve the arterial vasculature.
The thickened intima shows inflammatory cell infiltrates and there may be infiltrates of the muscular walls as well.
Occlusive vascular thrombosis may be present.
Clinical Correlation

Patients with transplanted kidneys are closely monitored and the clinical manifestations will be that of decreasing renal function.
References

Striker LJ. The renal biopsy. Philadelphia: Saunders, 1990, pp. pp. 232-235.
Acute Transplant Rejection
Synopsis by: Harold Yamase M.D. (T71000M15600)[189]
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