Indication

Liver transplant rejection

Liver transplant rejection is an immune-mediated complication in which a recipient's immune system identifies the transplanted donor liver as non-self, triggering an inflammatory cascade against the allograft. Read more about Liver transplant rejection

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About Liver transplant rejection.

Liver transplant rejection is an immune-mediated complication in which a recipient's immune system identifies the transplanted donor liver as non-self, triggering an inflammatory cascade against the allograft.

It primarily impacts allograft recipients and occurs along a spectrum ranging from acute cellular or antibody-mediated rejection—predominantly observed within the first few weeks to months post-transplantation—to late-stage or chronic rejection characterized by vascular obliteration and ductopenia.

Defining clinical and pathophysiologic features include elevated serum aminotransferases and cholestatic liver enzymes, fever, jaundice, abdominal tenderness, and classic histologic findings such as mixed portal triad inflammation, bile duct epithelial injury, and venous endotheliitis.

Left unchecked, severe or refractory rejection can lead to progressive allograft dysfunction and graft loss.

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