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Medication nonadherence, acute rejection, and change in kidney function were reported for patients at the time of transfer from pediatric to adult providers, and at one year, two years, and three years post-transfer.
Acute rejection is characterized by a perivascular mononuclear cell infiltrate with or without endothelialitis.
The incidence of first treated biopsy confirmed acute rejection was 26% and was higher among patients receiving AZA compared to MPS.
Acute rejection has received an increasing amount of attention as a risk factor for BCs.
Currently, the relationship between clinical and histopathologic acute rejection is not understood (i.
The immunosuppression regimen used was the 'classic' combination of corticosteroids, azathioprine and antithymocyte globulin with the addition of cyclophosphamide or actinomycin D when severe acute rejection episodes occurred.
Acute rejection was more frequent in steroid sparing regimens when cyclosporine (CsA) was used.
Endomyocardial biopsy and echocardiography were used to identify acute rejection, and we performed coronary angiography and, echocardiography when a recipient was hospitalized because of heart failure and chronic rejection.
Acute rejection has a radiographic appearance similar to reperfusion injury (Figure 2)--that is, mixed interstitial and air-space opacities with associated pleural effusions.
In the US, Thymoglobulin is currently indicated for the treatment of renal transplant acute rejection, in conjunction with concomitant immunosuppression.
Within the first 4 weeks of transplant, the predominant complications reported are associated with the surgery itself, hyperacute or acute rejection, and infections of wounds or invasive lines along with bacterial pneumonia and fungal infections.

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