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The purpose of this study was to evaluate clinical characteristics, treatments and outcomes of patients with focal segmental glomerulosclerosis recurrence (FSGSr).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective single\u2010center cohort study including FSGSr patients treated with plasmapheresis (PP) and combinations of high dose steroids, cyclosporine and rituximab.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 61 patients included in this analysis the median time to diagnosis was 19\u2009days. The incidence of first biopsy\u2010confirmed FSGSr was 18% reaching 52.4% with follow\u2010up biopsies. During PP treatment 54% of the patients developed infectious complications. PP was discontinued in 37% of patients due to treatment failure (no remission or graft loss) and in 26% due to an adverse event. All patients who discontinued PP due to adverse event did not show clinical response or lost the allograft. The incidence of acute rejection was 34.4%. The incidences of partial and complete remissions were 16.4% and 27.8%, respectively. Overall 6\u2010years patient and graft survivals were 90.7% and 64.5%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This analysis confirms the low, variable and unpredictable rate of FSGSr remission, inconsistencies among available therapeutic options and its high rate of adverse events, and the negative impact on graft survival.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nep.13589","type":"journal-article","created":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T04:35:45Z","timestamp":1553056545000},"page":"1179-1188","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Clinical features and outcomes of kidney transplant recipients with focal segmental glomerulosclerosis recurrence"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0820-5815","authenticated-orcid":false,"given":"Juliana B","family":"Mansur","sequence":"first","affiliation":[{"name":"Nephrology Division, Hospital do Rim Universidade Federal de Sao Paulo  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tain\u00e1 V","family":"Sandes\u2010Freitas","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Federal University of Cear\u00e1  Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianna M","family":"Kirsztajn","sequence":"additional","affiliation":[{"name":"Nephrology Division, Hospital do Rim Universidade Federal de Sao Paulo  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina P","family":"Cristelli","sequence":"additional","affiliation":[{"name":"Nephrology Division, Hospital do Rim Universidade Federal de Sao Paulo  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo F","family":"Mata","sequence":"additional","affiliation":[{"name":"Nephrology Division, Hospital do Rim Universidade Federal de Sao Paulo  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayara I","family":"de Paula","sequence":"additional","affiliation":[{"name":"Nephrology Division, Hospital do Rim Universidade Federal de Sao Paulo  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia C","family":"Grenzi","sequence":"additional","affiliation":[{"name":"Microbiology and Immunology Division Universidade Federal de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suelen B S","family":"Martins","sequence":"additional","affiliation":[{"name":"Nephrology Division, Hospital do Rim Universidade Federal de Sao Paulo  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia R","family":"Felipe","sequence":"additional","affiliation":[{"name":"Nephrology Division, Hospital do Rim Universidade Federal de Sao Paulo  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9lio","family":"Tedesco\u2010Silva","sequence":"additional","affiliation":[{"name":"Nephrology Division, Hospital do Rim Universidade Federal de Sao Paulo  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 O M","family":"Pestana","sequence":"additional","affiliation":[{"name":"Nephrology Division, Hospital do Rim Universidade Federal de Sao Paulo  Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(92)90267-F"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfp500"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199909150-00007"},{"key":"e_1_2_7_5_1","first-page":"115","article-title":"The anti\u2010CD40 auto\u2010antibody: A biomarker or a factor for the permeability of recurrent focal segmental glomerulosclerosis?","volume":"3","author":"Beaudreuil S","year":"2015","journal-title":"Ann. 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