What is your approach to post-kidney transplant erythrocytosis for an asymptomatic patient already on ACEi but with Hb consistently >18?
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In an asymptomatic kidney transplant recipient with persistent post-transplant erythrocytosis (Hct >=55%) despite ACE inhibitor therapy, what is your next step?
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1 Answer
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Hematology · Massachusetts General Hospital Cancer Center
Answered on
My approach is to rule out non-transplant-associated causes of erythrocytosis (examples include obstructive sleep apnea, checking for renal artery stenosis, etc.). Once the diagnosis of post-kidney transplant erythrocytosis has been met, we typically use ACEi/ARB as you mention in the question. If t...
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