Patient after kidney transplantation in outpatient internal clinic

Kidney transplantation is the first-choice treatment of the end-stage kidney disease. By increasing the number of kidney transplants and by improving the care for these patients, there is increasing number of patients with a functional graft, who need adequate follow-up and treatment. It is advisable to feasibly transfer some portion of the care to the doctors based outside transplant centres and so it is necessary to make them familiar with these issues. That is also the purpose of this article, which is focused on some of those frequent medical problems associated with kidney transplantations, which are in competence of internal medicine doctors. These are namely arterial hypertension, present in majority of patients after transplantation, frequently caused by persisting renal dysfunction of various degree and effect of immunosuppressants, post transplant diabetes mellitus, dyslipidaemia, which is our focus because chronic kidney disease is considered a coronary heart disease risk equivalent, and anaemia.