RENAL DUPLEX ULTRASONOGRAPHY IN THE DIAGNOSIS AND FOLLOW-UP OF A CASEOF ACCELERATED TRANSPLANT REJECTION TREATED WITH OKT3

Several studies(1-7) have discussed the value of ultrasonography in th e differential diagnosis of early renal allograft dysfunction. However , much controversy still remains regarding its real usefulness in this clinical setting. Among the causes of early graft dysfunction, accele rated rejection is one of the most serious and leads frequently to ear ly graft loss; early diagnosis and aggressive therapy are essential to prevent irreversible graft damage or even graft rupture. Limited atte ntion(8) has been paid to the evaluation of accelerated rejection trea ted with monoclonal CD3 antibodies by means of combined B-mode and Dop pler ultrasonography. We report one such a case with a favorable outco me.