Indian Journal of Transplantation

CASE REPORT
Year
: 2020  |  Volume : 14  |  Issue : 4  |  Page : 346--348

A case report of ABO and human leukocyte antigen incompatible renal transplant – Being immunologically smart


Pranaw Kumar Jha1, Ajay Kher2, Vijay Kher1 
1 Department of Nephrology and Renal Transplantation, Medanta Institute of Kidney and Urology, Gurugram, Haryana, India
2 Department of Nephrology, Max Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India

Correspondence Address:
Dr. Pranaw Kumar Jha
Department of Nephrology and Renal Transplantation, Medanta Institute of Kidney and Urology, Medanta – The Medicity, Sector-38, Gurugram - 122 001, Haryana
India

Blood group and human leukocyte antigen (HLA) incompatibility are major immunological barriers in renal transplantation. Desensitization and subsequent transplantation improve the longevity and quality of life of these patients when compared to being on a waitlist. For best outcomes, a complete repertoire of immunological workup and an in-depth understanding of these tests are important for choosing the most suitable donor against whom the recipient is least sensitized. We present an interesting case of a sensitized patient who had the option of undergoing renal transplant with either a blood group incompatible mother or a compatible aunt as the prospective donor. Despite the blood group incompatibility, the mother was chosen as the donor in view of the lower strength of anti-HLA antibodies against her. The patient had a successful posttransplant outcome with good graft function at 1 year follow-up. Careful donor selection after detailed immunological workup is important while transplanting sensitized recipients. HLA incompatibility rather than blood group incompatibility should be the deciding factor in such cases.


How to cite this article:
Jha PK, Kher A, Kher V. A case report of ABO and human leukocyte antigen incompatible renal transplant – Being immunologically smart.Indian J Transplant 2020;14:346-348


How to cite this URL:
Jha PK, Kher A, Kher V. A case report of ABO and human leukocyte antigen incompatible renal transplant – Being immunologically smart. Indian J Transplant [serial online] 2020 [cited 2021 Feb 24 ];14:346-348
Available from: https://www.ijtonline.in/article.asp?issn=2212-0017;year=2020;volume=14;issue=4;spage=346;epage=348;aulast=Jha;type=0