Edward S. Spilkin, M.D.; James A. Greene Jr., M.D.; John M. Weller, M.D., F.A.C.P.
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The medical complications of 47 renal homotransplants done between March 1964 and October 1968 are analyzed. Complications classified according to their sequential occurrence were as follows:  In the pretransplant phase-hypertension, congestive heart failure, peripheral neuropathy, infections, malnutrition, and other problems related to the underlying renal failure. Adequate hemodialysis was necessary and useful in their management.  In the immediate posttransplant period—acute oliguric renal failure. Renal biopsy and evaluation of the clinical course aided in differentiating acute rejection from acute tubular necrosis.  During the 6 months after transplantation—azathioprine toxicity, episodes of acute rejection, hyperparathyroidism, and unusual infections. Weekly physical
Edward S. Spilkin, James A. Greene, John M. Weller. Management of the Medical Complications of Renal Transplantation: A Sequential Analysis.. Ann Intern Med. 1969;70:1096–1097. doi: 10.7326/0003-4819-70-5-1096_3
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Published: Ann Intern Med. 1969;70(5):1096-1097.
Nephrology, Renal Replacement Therapy.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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