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letter
. 2020 Jun 20;98(2):513–514. doi: 10.1016/j.kint.2020.05.038

Table 1.

Kidney and SPK transplant recipients admitted with acute rejection within 1 week of stay-at-home state orders during COVID-19 pandemic

Pt Sex Age (yr) Race Time since transplant (yr) Transplant type Induction Cause of ESRD Maintenance IS Scr baseline (mg/dl) Nonadherence Presentation Scr at presentation (mg/dl) Biopsy Treatment Outcomes
1 M 43 W 5 LUKT rATG PCKD T/M/P 1.6 Yes Nausea, vomiting 30 ND None Dialysis
2 M 37 AA 7 LUKT IL-2 (−) HTN T/M/P 1.3 Yes Nausea, vomiting 16 TCMR Pulse steroids Dialysis
3 M 38 W 11 SPK rATG DM T/M/P 1 Yes Nausea, vomiting 1.5 ND None Failed pancreas
4 F 22 W 5 DD rATG MCKD T/M/P 0.9 Yes Elevated UPC 1 ABMR Pulse steroids i.v. Ig
5 F 37 W 3 LUKT rATG HTN T/M/P 1.5 Yes Elevated creatinine 2.5 Mixed Pulse steroids i.v. Ig
6 F 59 AA 5 DD rATG HTN T/L/P 2 Yes Elevated creatinine 3 ABMR Increase baseline IS

AA, African American; ABMR, antibody-mediated rejection; COVID-19, coronavirus disease 2019; DD, deceased donor; DM, diabetes mellitus; ESRD, end-stage renal disease; F, female; HTN, hypertension; IL-2 (−), interleukin-2 blockade; IS, immunosuppression; LUKT, living unrelated kidney transplant; M, male; MCKD, medullary cystic kidney disease; ND, not done; PCKD, polycystic kidney disease; Pt, patient; rATG, rabbit antithymocyte globulin; Scr, serum creatinine; SPK, simultaneous pancreas-kidney transplantation; TCMR, T cell–mediated rejection; T/L/P, tacrolimus, leflunomide, prednisone; T/M/P, tacrolimus, mycophenolate, prednisone; UPC, urine protein-creatinine ratio; W, white.