{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:43:59Z","timestamp":1747190639831,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,4,22]],"date-time":"2021-04-22T00:00:00Z","timestamp":1619049600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Transplantation"],"published-print":{"date-parts":[[2021,4,22]]},"abstract":"<jats:p>A 47-year-old male was diagnosed with chronic kidney disease (CKD) in 2011; idiopathic thrombocytopenic purpura (ITP) was also diagnosed in 2011 refractory to medical treatment and finally treated with splenectomy (2017) without relapses since that date, 5 blood transfusions, and 4 platelet apheresis in 2017. Renal transplant from a living related donor (brother), ABO compatible, crossmatch were negative, sharing 1 haplotype. Donor-specific anti-HLA antibody was negative. Graft function was stable until the 5th day and graft biopsy on the 6th day; thrombotic microangiopathy (TMA), C4D negative and inflammatory infiltration of polymorphonuclear leukocytes inside peritubular capillary, and anti-MICA antibodies were positive. The treatment used were plasmapheresis, intravenous immunoglobulin, and rituximab. Serum creatinine began to decrease since the 14th day, and by day 33, post-RT graft function was restored.<\/jats:p>","DOI":"10.1155\/2021\/9933354","type":"journal-article","created":{"date-parts":[[2021,4,24]],"date-time":"2021-04-24T02:05:20Z","timestamp":1619229920000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Humoral Acute Rejection in a Kidney Transplant Recipient with Idiopathic Thrombocytopenic Purpura"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1235-4538","authenticated-orcid":true,"given":"Ana Paola","family":"Rico-Portillo","sequence":"first","affiliation":[{"name":"Departamento de Nefrolog\u00eda y Trasplantes, UMAE, Hospital de Especialidades, CMNO, IMSS, Guadalajara, Jalisco, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2443-9515","authenticated-orcid":true,"given":"Jos\u00e9 Ignacio","family":"Cerrillos-Gutierrez","sequence":"additional","affiliation":[{"name":"Departamento de Nefrolog\u00eda y Trasplantes, UMAE, Hospital de Especialidades, CMNO, IMSS, Guadalajara, Jalisco, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1663-8223","authenticated-orcid":true,"given":"Jorge","family":"Andrade-Sierra","sequence":"additional","affiliation":[{"name":"Departamento de Nefrolog\u00eda y Trasplantes, UMAE, Hospital de Especialidades, CMNO, IMSS, Guadalajara, Jalisco, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3809-0545","authenticated-orcid":true,"given":"Alfredo","family":"Guti\u00e9rrez-Govea","sequence":"additional","affiliation":[{"name":"Departamento de Nefrolog\u00eda y Trasplantes, UMAE, Hospital de Especialidades, CMNO, IMSS, Guadalajara, Jalisco, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6868-6465","authenticated-orcid":true,"given":"Enrique","family":"Rojas-Campos","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n M\u00e9dica en Enfermedades Renales UMAE, Hospital de Especialidades, CMNO, IMSS, Guadalajara, Jalisco, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4853-0356","authenticated-orcid":true,"given":"Claudia Alejandra","family":"Mendoza-Cerpa","sequence":"additional","affiliation":[{"name":"Departamento de Anatom\u00eda Patol\u00f3gica UMAE, Hospital de Especialidades, CMNO, IMSS, Guadalajara, Jalisco, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3551-6106","authenticated-orcid":true,"given":"Benjam\u00edn","family":"G\u00f3mez-Navarro","sequence":"additional","affiliation":[{"name":"Departamento de Nefrolog\u00eda y Trasplantes, UMAE, Hospital de Especialidades, CMNO, IMSS, Guadalajara, Jalisco, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra010501"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2005.20.1.92"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2009.07.010"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2009.07.010"},{"volume-title":"Microangiopat\u00eda tromb\u00f3tica con c4d positivo: rechazo agudo mediado por anticuerpos, tipo ii","year":"2010","author":"X. 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