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S Baskin

Publications and source records attributed to S Baskin.

29 records · Page 2Linked to original sources
PubMed1983

Cadaver kidney allograft survival in a high-risk black population utilizing antilymphoblast globulin and low steroid therapy.

This study contrasts graft and patient survival in black and white high-risk populations receiving cadaveric renal allografts. In addition, factors affecting the outcome of black and white high-risk patients maintained on chronic hemodialysis for one year are studied. While immunosuppression and treatment of rejection with ALG appeared to improve graft and patient survival of both black and white allograft recipients, high-risk black patients tended to do poorly on chronic hemodialysis. Black high-risk patients, therefore, may be better candidates for transplantation.

Antilymphocyte Serum↗
PubMed1983

Predictive survival after kidney transplantation. An analysis of risk factors.

One hundred consecutive kidney transplants in 89 patients performed at a single center were analyzed to assess the relationship between patient survival and various high-risk factors present prior to transplantation. Each individual risk factor was given a relative weight which contributed to a cumulative risk index for each patient. Based on these risk indices, patients were placed in four risk categories: 1) good risk, 2) high risk, 3) very high risk, and 4) extremely high risk. Analysis of the survival data for each of these groups indicated that as the risk increased, survival decreased. Actuarial patient survival for the good risk group (n = 37) and high risk group (n = 27) were 97.2 per cent and 88.5 per cent, respectively. The very high risk group (n = 15) and extremely high risk group (n = 21) had decreased survival of 45.8 per cent and 38.2 per cent, respectively. Therefore, although our system of high-risk classification is not fully evolved, its application even in the present form could be of considerable aid in transplantation decision making.

Adult↗
PubMed1980

Improved results in high risk cadaveric kidney transplantation.

In general, cadaver kidney transplantation survival remains at 40-50% for the first year after transplantation. To compare the beneficial effect of a new immunosuppressive protocol to standard therapy (azathioprine and prednisone), we have studied 30 high risk first cadaveric renal allograft recipients who were randomly selected before (Group A, n=15) and after (Group B, n=15) 10/79. At 12 mos, actuarial graft survival of Group B is 75% compared to 46% in Group A. Actuarial patient survival for Group B is 94% for one year compared to 60% in Group A. We feel that these improved results are related to basic changes in our immunosuppressive protocol. These changes consist of: 1. Low doses of azathioprine and prednisolone (less than 1 mg/kg) with rapid reduction to very low levels (less than 0.3 mg/kg); 2. ALG administration at 30 mg/kg/day for 14 times; 3. Rapid placement (one month) on alternate day steroid therapy; 4. Elimination of steroids for the treatment of rejection; 5. Use of ALG (20 mg/kg/day for 10 days) for the treatment of rejection; 6. Use of ALG combined with modified lymph node irradiation for third rejection episodes; and 7. Long-term intermittent ALG administration provided that kidney function continues to be normal. The best immunosuppressive protocol is clearly the one associated with less morbidity and improved quality of life after transplantation. Our current protocol (Group B) provides the best results.

Antilymphocyte Serum↗
PubMed1976

Treponemal antigen in immunopathogenesis of syphilitic glomerulonephritis.

A patient with syphilitic glomerulonephritis had a renal biopsy and was treated for secondary syphilis. Light, electron, and immunofluorescence microscopic studies revealed an acute proliferative glomerulonephritis with subepithelial, intramembranous, and subendothelial immune complex deposits containing IgG, IgA, IgM, C4, and C3. Similar local deposits containing predominantly IgM were noted in areas of mesangial proliferation. Indirect fluorescent antibody studies employing rabbit treponemal antibody and sheep antirabbit globulin conjugate revealed the presence of treponemal antigen in the glomerular deposits. This finding provides strong evidence for the immunopathogenesis of the glomerular lesion as well as a causal link with Treponema pallidum.

Adult↗