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Rechazo Agudo Trasplante Renal Pdf Free

 
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quenbyamy


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Joined: 08 May 2016
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Localisation: Milano

PostPosted: Wed 5 Oct - 22:07 (2016)    Post subject: Rechazo Agudo Trasplante Renal Pdf Free Reply with quote




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Rechazo Agudo Trasplante Renal Pdf Free

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Este,,hallazgo,,,sumado,,a,,positividad,,para,,C4d,,es,,muy,,sugerente,,de,,rechazo,,humoral,,,que,,debera,,confirmarse,,tratando,,de,,demostrar,,anticuerpos,,especficos,,contra,,antgenos,,del,,donante.,,La,,mayora,,de,,estos,,pacientes,,tienen,,anticuerpos,,anti-HLA,,de,,clase,,I.,,La,,severidad,,de,,la,,tubulitis,,se,,grada,,de,,acuerdo,,al,,nmero,,por,,rea,,transversal,,del,,tbulo,,,en,,este,,caso,,5,,linfocitos:,,t2.,,Trasplante,renal.,Los,,,casos,,,en,,,que,,,podemos,,,evidenciar,,,destruccin,,,de,,,la,,,basal,,,del,,,tbulo,,,(flechas),,,tambin,,,debemos,,,graduarlos,,,como,,,tubulitis,,,severa:,,,t3.,,,La,,,calidad,,,de,,,un,,,rgano,,,donante,,,se,,,evala,,,por,,,las,,,caractersticas,,,clnicas,,,y,,,paraclnicas,,,del,,,donante,,,,la,,,evaluacin,,,histolgica,,,,al,,,menos,,,en,,,donantes,,,sin,,,enfermedad,,,de,,,base,,,,no,,,es,,,esencial.,,,

Se,,,desarrolla,,,en,,,receptores,,,que,,,tienen,,,anticuerpos,,,preformados,,,contra,,,antgenos,,,del,,,donante;,,,estos,,,anticuerpos,,,pueden,,,desarrollarse,,,por,,,transfuciones,,,previas,,,,trasplantes,,,anteriores,,,o,,,por,,,embarazos.,,,Solez,,,K,,,,et,,,al.,,,Solez,K,,et,al.,Historia,del,trasplante,renal.,[PubMed,,link];,,Carrera,,M,,,et,,al.,,Para,,obtener,,una,,adecuada,,cantidad,,de,,tejido,,,se,,recomienda,,una,,cua,,de,,10,,mm,,de,,amplitud,,en,,la,,superficie,,renal,,y,,al,,menos,,5,,mm,,de,,profundidad,,,para,,asegurar,,una,,evaluacin,,cercana,,a,,la,,mitad,,del,,espesor,,cortical,,,y,,tratando,,de,,evitar,,que,,la,,muestra,,se,,limite,,al,,rea,,subcapsular,,que,,puede,,tener,,ms,,cicatrices,,y,,glomrulos,,esclerosados,,,no,,representativos,,del,,resto,,del,,parnquima.,,Hacia,,,el,,,final,,,de,,,la,,,primera,,,hora,,,se,,,ven,,,abundantes,,,polimorfos,,,marginados,,,en,,,capilares,,,glomerulares,,,,peritubulares,,,,arteriolas,,,y,,,arterias,,,de,,,pequeo,,,calibe,,,y,,,vnulas,,,,con,,,dao,,,del,,,endotelio.,,,Yu.,,Esta,,clasificacin,,anterior,,es,,clnico-patolgica,,y,,,en,,alguna,,medida,,,basada,,en,,la,,patogenia.,,Nephrol,,,Dial,,,Transplant.,,,

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PostPosted: Wed 5 Oct - 22:07 (2016)    Post subject: Publicité

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