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Cortical Necrosis/Transplant Rejection
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Cortical Necrosis/Transplant Rejection

The cortex shows extreme pallor.
The medullary regions has a dusky appearance with irregular areas of hemorrhage.
(Description By:H. Yamase, M.D. )
(Image Contrib. by: )
Acute Transplant Rejection
Etiology

The etiology of organ transplant rejection is complex, basically immunological.
Pathogenesis

The pathogenic mechanisms are complex, basically immunological.,
Epidemiology

Transplanted kidney is recognized as foreign by the patient's immune system.
General Gross Description

Grossly, the kidney may vary from unremarkable to necrotic, depending on the extent and stage.
General Microscopic Description

The most characteristic changes involve the arterial vasculature.
The thickened intima shows inflammatory cell infiltrates and there may be infiltrates of the muscular walls as well.
Occlusive vascular thrombosis may be present.
Clinical Correlation

Patients with transplanted kidneys are closely monitored and the clinical manifestations will be that of decreasing renal function.
References

Striker LJ. The renal biopsy. Philadelphia: Saunders, 1990, pp. pp. 232-235.
Acute Transplant Rejection
Synopsis by: Harold Yamase M.D. (T71000M15600)[189]
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