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Hormonal abnormalities in renal transplantation.

V Bonomini, C Campieri, C Feletti

    Contributions to Nephrology
    |January 1, 1985
    PubMed
    Summary

    Endocrine disorders often persist after kidney transplants, with only two-thirds of patients seeing full recovery. Remaining abnormalities, like hyperparathyroidism and sexual dysfunction, require ongoing management for better patient and graft outcomes.

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    Area of Science:

    • Nephrology
    • Endocrinology
    • Transplantation Medicine

    Background:

    • Uremia and dialysis are associated with numerous endocrine disorders.
    • Kidney transplantation is expected to resolve these hormonal imbalances.
    • Persistence of endocrine dysfunction post-transplant impacts patient health.

    Purpose of the Study:

    • To evaluate the long-term resolution of endocrine disorders after renal transplantation.
    • To identify the types and origins of persistent endocrine abnormalities.
    • To understand the clinical significance of these abnormalities for prognosis.

    Main Methods:

    • Retrospective analysis of 71 out of 275 renal transplant recipients.
    • Serial studies with regular clinical and laboratory checks.

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  • Documentation of various endocrine abnormalities and graft function.
  • Main Results:

    • Only approximately two-thirds of successfully transplanted patients experience complete resolution of endocrine disorders.
    • Persistent abnormalities include those 'inherited' from uremia (e.g., hyperparathyroidism), steroid-related (e.g., hyperinsulinism), and de novo conditions (e.g., erythrocytosis).
    • These abnormalities can occur with varying graft function, presentation, and outcomes.

    Conclusions:

    • Endocrine disorders frequently persist after renal transplantation, challenging the assumption of complete resolution.
    • Understanding and managing these persistent abnormalities is crucial for long-term patient and graft survival.
    • Further research is needed to elucidate the mechanisms and optimize treatment for post-transplant endocrine dysfunction.