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Title: Successful reversal of recalcitrant hepatic allograft rejection by photopheresis. Author: Lehrer MS, Ruchelli E, Olthoff KM, French LE, Rook AH. Journal: Liver Transpl; 2000 Sep; 6(5):644-7. PubMed ID: 10980066. Abstract: Extracorporeal photopheresis (ECP) is an immunologic modality that has shown efficacy in the treatment of clonal T-cell diseases, including Sézary syndrome and allograft rejection. In this case report, we expand on this observation to include recalcitrant hepatic allograft rejection. A 14-year-old boy with hepatic allograft rejection refractory to high-dose corticosteroid and lymphocytolytic therapy was treated with 4 sessions of ECP over a 6-week period. After 2 sessions, a liver biopsy showed complete reversal of acute cell-mediated rejection. No opportunistic infections or other adverse events were noted. Photopheresis appears to be a safe and effective modality for the treatment of refractory hepatic allograft rejection.[Abstract] [Full Text] [Related] [New Search]