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Living Donor Kidney Transplantation in a Patient With Epidermolysis Bullosa: A Case Report
Authors:S.H.E. Ceuppens  H.J.A.N. Kimenai  J.I. Roodnat  I.R.A.M. Mertens zur Borg  J.C. Duipmans  J.N.M. IJzermans  R.C. Minnee
Affiliation:1. Department of Surgery, Division of HPB & Transplant Surgery, Erasmus MC, Rotterdam, the Netherlands;2. Department of Internal Medicine, Erasmus MC, Rotterdam, the Netherlands;3. Department of Anaesthesiology, Erasmus MC, Rotterdam, the Netherlands;4. Department of Dermatology, University Medical Center Groningen, the Netherlands
Abstract:Severe recessive dystrophic epidermolysis bullosa is a very rare inherited disease with excessive blisters forming starting at birth. Surgical intervention in this population creates a challenge: preventing formation of new lesions while managing previously scarred tissues.We present a case of a 27-year-old patient with end-stage renal disease caused by rapidly progressive IgA nephropathy. Living donor kidney transplantation was performed under local, spinal and epidural anesthesia.Living kidney transplantation in epidermolysis bullosa patients with end-stage renal disease should not be a contraindication for transplantation and should be considered as a viable and feasible option after careful preparation.
Keywords:Address correspondence to R.C. Minnee   Doctor Molewaterplein 40   3015 GD   Rotterdam   the Netherlands.
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