{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T05:10:41Z","timestamp":1679461841634},"reference-count":40,"publisher":"EDP Sciences","issue":"3","license":[{"start":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T00:00:00Z","timestamp":1679356800000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Sci (Paris)"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:p>La transplantation r\u00e9nale est le traitement de choix de l\u2019insuffisance r\u00e9nale terminale chez l\u2019enfant, mais cela reste une proc\u00e9dure rare avec, en France, seulement 100 \u00e0 120 transplantations r\u00e9nales p\u00e9diatriques par an. Si les grands principes de la transplantation r\u00e9nale sont identiques chez l\u2019enfant et chez l\u2019adulte, certaines sp\u00e9cificit\u00e9s en lien avec les maladies r\u00e9nales sous-jacentes, la technique chirurgicale, le m\u00e9tabolisme des immunosuppresseurs et le risque de complication infectieuse, justifient une prise en charge particuli\u00e8re des jeunes patients. La morbidit\u00e9 de la dialyse, particuli\u00e8re chez l\u2019enfant, et le besoin de transplantations r\u00e9p\u00e9t\u00e9es au cours de la vie du patient expliquent des sp\u00e9cificit\u00e9s p\u00e9diatriques dans le choix des donneurs et l\u2019allocation des greffons sur la liste d\u2019attente nationale. 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