Table 2.
Number of patients | Patient | De novo versus recurrent disease | Cr (mg/dL) upon presentation | Treatment | Cr (mg/dL) after treatment | |
---|---|---|---|---|---|---|
1 | Recurrent | 2.8 | Steroids, PO cytoxan for 6 months | 2.3 | ||
Nasr et al. [3] | 4 | 2 | Recurrent | 3.7 | Steroids for 8 months, rituximab × 2, lisinopril for 6 months | 1.1 |
3 | Recurrent | 4.8 | Steroids, rituximab × 1, PLX × 4, and HD × 3 | 1.3 | ||
4 | Recurrent | 1.2 | Steroids for ACR, rituximab × 2 | 2.3 | ||
1 | Recurrent | 2.7 | No change in immunosuppression | 1.7–2.5; patient died from fatal myocardial infarct | ||
Albawardi et al. [12] | 4 | 2 | Recurrent | 3.9 | Adjusted immunosuppression from MFA and sirolimus to MFA and steroids | 3.3; patient died from fatal cryptococcal meningitis |
3 | De novo | 2.6 | Prednisone and cyclosporine | ESRD | ||
4 | De novo | 2.8 | No mention | No mention | ||
Rhangino et al. [8] | 1 | 1 | Recurrent | 2.0 | PLX, IVIG, steroids | 1.1 |
Al-Rabadi [11] | 3 | 1 | De novo | 1.2 | Bortezomib and dexamethasone × 3 doses, then switched to carfilzomib | 1.70 |
2 | Recurrent | 4.48 | Patient opted for no treatment | ESRD | ||
3 | De novo | 1.0 | No change in immunosuppression: tacrolimus and azathioprine | 1.28 |
ACR, acute cellular rejection; HD, hemodialysis; IVIG, intravenous immunoglobulin; MFA, mycophenolic acid; PLX, plasmapharesis; PO, oral.