@article {1307,
	title = {Acute humoral rejection in an ABO compatible combined liver-kidney transplant--the kidney is not always protected},
	journal = {Am J Transplant},
	volume = {9},
	year = {2009},
	note = {Reichman, T W Marino, S R Milner, J Harland, R C Cochrane, A Millis, J M Testa, G Case Reports United States American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons},
	month = {Aug},
	pages = {1957 - 60},
	edition = {39980},
	abstract = {Combined liver-kidney transplantation has become a common practice for the treatment of patients with concurrent end-stage renal disease and end-stage liver disease. Liver transplantation in the setting of multiorgan transplantation is thought to have a protective effect against humoral rejection even when a positive crossmatch is obtained prior to surgery. In most centers, a pre liver-kidney transplant crossmatch is rarely performed because of the known immunoprotective effect of the liver allograft. In this report, a case of acute humoral rejection in the kidney allograft after a combined liver-kidney transplant is described. Although humoral rejection was treated using plasmapheresis, intravenous immunoglobulin and rituximab, the kidney required 3 months to recover function and finally progressed to chronic allograft nephropathy. A heightened index of suspicion for acute humoral rejection of the renal allograft is necessary when performing combined liver-kidney transplants to highly sensitized patients due to previous organ transplants.},
	keywords = {ABO Blood-Group System / *immunology, Antibodies, Monoclonal / therapeutic use, Graft Rejection / *diagnosis / *immunology / therapy, Histocompatibility / *immunology, Humans, Immunity, Humoral / *immunology, Immunoglobulins, Intravenous / therapeutic use, Immunologic Factors / therapeutic use, Kidney Failure, Chronic / surgery, Kidney Transplantation / *immunology, Liver Diseases / surgery, Liver Transplantation / *immunology, Male, Middle Aged, Plasmapheresis, Treatment Outcome},
	issn = {1600-6143 (Electronic) 1600-6135 (Linking)},
	doi = {AJT2714 [pii] 10.1111/j.1600-6143.2009.02714.x},
	author = {Reichman,T. W. and Marino,S. R. and Milner,J. and Harland,R. C. and Cochrane,A. and Millis,J. M. and Testa,G.}
}
