Ignatius Tang

Renal Subcapsular Hematoma: A Rare Potentially Reversible Cause of Acute Graft Dysfunction With Immediate Intervention

Walaa Dabbas, Josefina Sofia Pavez Berrios, Ruchi Naik, B. Valdepenas et autres

Subcapsular hematoma of the kidney allograft is an often underrecognized but reversible cause of acute graft dysfunction, which occurs most commonly after percutaneous biopsy. We retrospectively reviewed 4 cases diagnosed with subcapsular hematoma between 2020 and 2023. All patients developed acute kidney …

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BK Virus Nephropathy (BKVN) and Antibody-Mediated Rejection (AMR): Impact on 1-Year Graft and Patient Survival in Kidney Transplant Recipients

Aseel Zghayer, M. Sanoufa, Sumaih Zoubi, Aimun Ahmed et autres

Purpose: BKVN continues to be a major complication following kidney transplantation, often leading to graft dysfunction or loss. Currently, there is no specific treatment for BK viremia (BKV), and most therapeutic approaches focus on reducing immunosuppression, which increases the risk of rejection. …

Glucagon-Like Peptide 1 Receptor Agonists Use in Obese Simultaneous Pancreas-Kidney Transplant Recipients: A Single Center Experience

Mohammad Abuzeineh, S. Ansari, Walaa Dabbas, Ramesh Naik et autres

Purpose: Post-transplant insulin resistance and obesity due to immunosuppressants are common after simultaneous pancreas-kidney transplantation (SPKT). While Glucagon-like peptide 1 receptor agonists (GLP1-RAs) reduce cardiovascular events and mortality in patients with type 2 diabetes (T2D) and chronic kidney disease (CKD), safety and …

Race-Neutral 2021 CKD-EPI Creatinine eGFR and Iohexol-Measured GFR in Living Kidney Donor Candidates

Walaa Dabbas, Ruchi Naik, Lorenzo Gallon, Ignatius Tang

Background: The race neutral 2021 CKD EPI creatinine (Cr) eGFR was approved by the OPTN to calculate kidney function for transplant candidates on the national waitlist to address disparities in kidney transplantation. The 2021 CKD EPI Cr equation estimates a lower GFR …

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P.525: Transplant renal artery stenosis: A potentially treatable cause of hypertension and renal allograft dysfunction.

Kristine Gapuz, Ruchi Naik, Ignatius Tang, Zahraa Hajjiri et autres

Purpose: Transplant renal artery stenosis (TRAS) is a recognized vascular complication in kidney transplant recipients with an incidence of 1% to 23%. It occurs between 3 months and 2 years after kidney transplant, peaks in the first 6 months with a higher …

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WCN24-1698 SUBCAPSULAR HEMATOMA OF KIDNEY ALLOGRAFT: A RARE AND POTENTIALLY REVERSIBLE CAUSE OF ACUTE GRAFT DYSFUNCTION

Walaa Dabbas, Ignatius Tang, Ruchi Naik

Subcapsular hematoma of transplant kidney is rare and cases are associated with kidney biopsy. Early diagnosis and surgical intervention are essential to preserve kidney function. We are presenting a case series of kidney transplant recipients with subcapsular hematoma.

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WCN24-863 HISTOPLASMA ASSOCIATED HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS IN KIDNEY TRANSPLANT RECIPIENT

Walaa Dabbas, Ruchi Naik, Nawaf Al-Hashemi, Ignatius Tang

Kidney transplant recipients are at risk of infectious complications due to chronic immunosuppressive state. While histoplasmosis is the most prevalent mycosis in the united states, histoplasma associated hemophagocytic lymphohistiocytosis (HLH) is rare and frequently underdiagnosed.

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Impact of early corticosteroid withdrawal on simultaneous pancreas‐kidney transplant long‐term outcomes: Single center experience and comparison to the International Pancreas Transplant Registry

Dana Pierce, Angelika C. Gruessner, Maya Campara, Pierpaolo DiCocco et autres

BACKGROUND: There remains a paucity of modern data comparing early steroid withdrawal (ESW) versus chronic corticosteroid (CCS) immunosuppression in simultaneous pancreas kidney (SPK) transplant recipients with long-term follow-up. Therefore, the purpose of this study is to assess the effectiveness and tolerability of …

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P10.02: Dapsone Induced Hemolytic Anemia in Solid Organ Transplant Recipients With Normal G6PD Activity

Walaa Dabbas, Ruchi Naik, Ignatius Tang

Purpose: Pneumocystis jirovecii Pneumonia (PJP) is a life-threatening infection in solid organ transplant recipients. Trimethoprim-sulfamethoxazole (TMP-SMX) is the first line regimen. For people who are intolerant to TMP-SMX, Dapsone is a commonly used alternative. G6PD deficiency should be ruled out before initiation …

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P16.27: A Case of Cytomegalovirus (CMV) Esophagitis Without CMV Viremia After SARS-CoV-2 Infection in a Kidney Transplant Recipient While on CMV Prophylaxis

Walaa Dabbas, Ruchi Naik, Ignatius Tang

Introduction: CMV prophylaxis significantly reduces CMV infection after solid organ transplants, but patient may still present with CMV primary disease or reactivation during the first six months post-transplant. Although high CMV viral load is usually seen in tissue invasive disease, blood CMV …

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242.2: Is There Any Role of Combined Use of Gene Expression Profiling and Donor Derived Cell Free DNA in Worsening Renal Allograft Function

Ruchi Naik, Walaa Dabbas, Prerna Kumar, Sajid Ansari et autres

Introduction: There are multiple noninvasive tests available to assess risk of renal allograft rejection. Donor-derived cell-free DNA (dd cf DNA) test is used to assess rejection in the settings of worsening renal allograft function while Gene profiling is used to assess the …

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P16.28: COVID 19 Outcomes in Hospitalized Kidney and Kidney/Pancreas Transplant Recipients During Omicron Variant Wave

Walaa Dabbas, Prerna Kumar, Ruchi Naik, Dana Pierce et autres

A Total of 49 kidney and kidney pancreas transplant recipients were hospitalized with COVID 19 between December 2021 and February 2022. Mean age of patients was 51 years, 21 were females (42.8%) and 28 were males (57.1%). 24 patients (48.9%) were Hispanic, …

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