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Pediatric Transplant: Archives News of the month

Pulmonary function testing in pediatric allogeneic stem cell transplant recipients to monitor for Bronchiolitis obliterans syndrome: a systematic review

 Published on 02/04/2025 |  Original article (Abstract)  | Gower William A. et al. | BMC Pediatrics 2025; 25(1): 250

Allogeneic hematopoietic stem cell transplantation (aHSCT) is an important modality for treating hematologic malignancies as well as many non-malignant conditions in children and young adults. Pulmonary complications are relatively common after pediatric aHSCT and cause significant morbidity and mortality...

Risk of cellular or antibody-mediated rejection in pediatric kidney transplant recipients with BK polyomavirus replication—an international CERTAIN registry study

 Published on 26/03/2025 |  Original article (Abstract)  | Alexander Fichtner   et al. | Pediatric Nephrology 2024; 40(3): 835-48

In kidney transplant recipients, reactivation of BK polyomavirus (BKPyV) replication is a common consequence of immunosuppressive therapy, which can progress to BKPyV-associated nephropathy (BKPyVAN), and ultimately to graft loss [1]. Additionally, primary BKPyV infection can occur in BKPyV-naïve...

Multidisciplinary approach to optimizing long-term outcomes in pediatric kidney transplant recipients: multifaceted needs, risk assessment strategies, and potential interventions

 Published on 19/03/2025 |  Original article (Abstract)  | Lidan Gu   et al. | Pediatric Nephrology 2024; 40(3): 661-73

The multifaceted demands of pediatric kidney transplant care are well recognized. To optimize outcomes of pediatric kidney transplant recipients, the American Society of Pediatric Nephrology recommends delivering care through a multidisciplinary paradigm [1], which often encompasses a pediatric nephrologist,...

Follow-up biopsies with microvascular inflammation and persistent donor specific antibodies identify ongoing rejection in pediatric kidney transplant recipients

 Published on 12/03/2025 |  Original article (Abstract)  | Clarkson Crane   et al. | Pediatric Nephrology 2025; aop: 10.1007/s00467-025-06671-y

Despite advances in immunosuppressive therapies, development of acute allograft rejection remains a common complication in pediatric and adolescent kidney transplant recipients (KTR). Predisposing risk factors for development of acute rejection are multifactorial and can include inadequate immunosuppression,...

Obesity and metabolic syndrome in a diverse pediatric kidney transplant population: which anthropometric measure best predicts arterial stiffness?

 Published on 05/03/2025 |  Original article (Abstract)  | Kristen Sgambat   et al. | Pediatric Nephrology 2025; aop: 10.1007/s00467-024-06635-8

Pediatric kidney transplant recipients are known to experience a heightened risk for cardiovascular (CV) disease [1]. Obesity and metabolic syndrome are highly prevalent among transplant recipients and are key factors that accelerate the process of arterial stiffening, further contributing to increased...