Successful living related simultaneous pancreas-kidney transplant between identical twins

Simultaneous pancreas-kidney transplant from living donors has been recentl y proposed as an effective therapeutic option in selected uremic patients w ith type I diabetes. We report the first simultaneous pancreas-kidney trans plant performed between identical twins. Posttransplant, the recipient has been maintained on low dose cyclosporine to avoid recurrent auto-immune ins ulitis. At the 1-year follow-up, both donor and recipient are well with nor mal renal function and excellent glucose control. Simultaneous pancreas-kid ney transplant between identical twins can be performed successfully using cyclosporine to prevent recurrent auto-immune insulitis.