Yazar "Hoşçoşkun C." seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim Yok
    Öğe
    Rare cause of weight loss in a kidney transplant recipient: Iron overload
    (2014) Yaprak M.; Çeltik A.; Turan I.; Nart D.; Turan M.N.; Sezer T.Ö.; Hoşçoşkun C.; Töz H.
    Various reasons such as malignancies and chronic infections may cause weight loss in kidney transplant patients. In this report, iron overload as a rare cause of weight loss in a kidney transplant patient is presented. Forty-seven-year-old male patient who transplanted from a deceased donor 5 years ago was hospitalized because of 20kg of weight loss. In medical history, he had history of hemodialysis for 89 months and received 100-300mg of intravenous iron therapy per week before transplantation and transfused eight units of blood. In physical examination, weight and height were 45kg and 185cm, respectively. Respiratory and cardiac auscultation was normal. Laboratory results revealed as follow: glucose 76mg/dL, urea 60mg/dL, creatinine 1.35mg/dL, aspartate aminotransferase 74U/L, alanine aminotransferase 77U/L, C-reactive protein 2.59mg/dL, albumin 3.3g/dL, globulin 3.4g/dL, white blood cells 3200/mm3, hemoglobin 13.1g/dL and platelets 190,000/mm3. Chest and abdominal tomography didn't reveal any pathology. Portal Doppler ultrasound showed signs of early cirrhosis. Viral and autoimmune hepatitis markers were negative. Ferritin was 5300ng/mL and transferrin saturation was 82%. In liver biopsy, hemosiderosis was diagnosed and heterozygous H63D gene mutation was detected. Totally, 19 units of phlebotomy were performed. Liver function tests and serum ferritin decreased gradually. At outpatient follow-up in 6 months, he returned to former weight. In conclusion, there can be several causes of weight loss in kidney transplant patients. Iron overload can come across as a rare cause of weight loss. In these patients, ferritin levels should be checked and diagnosis should be clarified by liver biopsy and gene mutation analysis. © 2014 Informa Healthcare USA, Inc.
  • Küçük Resim Yok
    Öğe
    Recovery of chronic dialysis hypotension after kidney transplantation: A case report
    (2014) Yaprak M.; Turan M.N.; Çeltik A.; Sezer T.O.; Hoşçoşkun C.; Özkahya M.; Töz H.
    Chronic dialysis hypotension is described as low systolic blood pressure (<100 mmHg) during interdialytic period. The presence of low predialysis systolic blood pressure, typically <110 mmHg, is significantly associated with increased mortality. Kidney transplantation is the preferred model of renal replacement therapy in the treatment of end-stage renal disease (ESRD) as it improves quality of life and survival. In this article, a long-term hemodialysis (HD) patient with chronic hypotension improved after kidney transplantation is presented. A 39-year-old male patient received a deceased donor kidney transplant. The patient was on HD for 23 years. The patient had suffered from chronic persistent hypotension for the last 8 years. Blood pressure was 70/50 mmHg before dialysis and 60/40 mmHg after dialysis. In the post-transplant period, blood pressure was maintained above 110/70 mmHg by intermittent infusion of dopamine. Hypotension was improved after 24 days and dopamine was discontinued. Various etiologies may cause chronic hypotension in patients receiving long-term HD treatment. Kidney transplantation may improve survival and quality of life by correcting hypotension in these patients. Therefore kidney transplantation should not be avoided as renal replacement therapy in ESRD patients with hypotension.
  • Küçük Resim Yok
    Öğe
    Simultaneous pancreas - kidney transplantation in patients with type 1 diabetes mellitus and end stage renal disease [Tip 1 diabetes mellitus ve son dönem böbrek yetmezligi bulunan hastalarda eşzamanli pankreas - böbrek transplantasyonu]
    (2003) Çoker A.; Zeytunlu M.; Sözbiyen M.; Firat Ö.; Töz H.; Seziş M.; Ertilav M.; Ulukaya S.; Acar L.; Mir S.; Özkayin N.; Hoşçoşkun C.; Yüzer Y.; Kaplan H.
    Diabetes Mellitus is the most common cause of end stage renal failure. Dialysis and renal transplantation offer improvements in the quality of life and long term survival for these group of patients. In the last decade, simultaneous pancreas - kidney transplantation became a worldwide accepted treatment modality for the patients with renal failure related to type 1 Diabetes Mellitus. In this paper, the first four simultaneous pancreas - kidney transplantation cases of Ege University Organ Transplantation and Research Center were reported with a review of the medical literature.