Anyone have antibody mediated rejection years after liver transplant?

Posted by mst123 @mst123, Aug 4 10:53am

25 years after liver transplant, my son has developed liver fibrosis/ scarring, apparently due to AMR ( antibody mediated rejection). Has anyone had experience with this? I am hoping to find out which hepatologists at Mayo Arizona are most experienced in this area. Thank you!

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Hi @mst123
What is the treatment recommendation of your son's transplant center?
Did they increase his immune suppression meds to begin to calm the rejection process?

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Profile picture for hello1234 @hello1234

Hi @mst123
What is the treatment recommendation of your son's transplant center?
Did they increase his immune suppression meds to begin to calm the rejection process?

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I had rejection in 2009. They changed my meds and everything is still ok.

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Profile picture for rachel5239 @rachel5239

I had rejection in 2009. They changed my meds and everything is still ok.

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Hi Rachel 😊
It's a pleasure to meet you. I am so happy to hear that all is well! Did you have a liver transplant? How long after your transplant did you experience rejection and what were the symptoms?

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Profile picture for rachel5239 @rachel5239

I had rejection in 2009. They changed my meds and everything is still ok.

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Also I am 38 years post transplant and still doing pretty good. Old age might be the problem. LOL

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Profile picture for hello1234 @hello1234

Hi Rachel 😊
It's a pleasure to meet you. I am so happy to hear that all is well! Did you have a liver transplant? How long after your transplant did you experience rejection and what were the symptoms?

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Yes I had a liver transplant in 1987. I had my rejection 22 years after my transplant. I only found out after having bloodwork. I really didn’t have symptoms other than being a little tired. It was caught early so that helped.

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@rachel5239
That's all wonderful news!! I am just curious. What immune suppression med did they change to after they saw rejection in your blood work? Did they increase your dosage or actually change medications? I love to hear the details of the success stories! 😊

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@mst123, I'm 16 years post transplant, and have not had a similar experience to your son's current situation. It sounds as if your son is not a Mayo patient and that you are looking to get a second opinion/appointment at Mayo Arizona.
I received my transplant at Mayo Rochester, and I can honestly say that whoever is assigned as your son's doctor will be working alongside a whole department of specialists. At Mayo a patient might be assigned a particular doctor, but this doctor is in comminucation with a whole team of specialists who each is available to share input as a diagnosis or treatment is being considered. So, with that in mind, I am going to suggest that you begin the process of making an appointment: Depending on which device your are logged in on, you will see a blue "Request an Appointment" link. There you can enter as a new patient. a returning patient, or Iif your doctor will make the appointment referral, there is a place for that. You can complete your request on line or scroll down the page for Phone contact information. A coordinator will follow up and help you with your son's possible appointment.

I hope that you have read the messages that others have already shared about their experience. Do you have any questions that you want to ask anyone of these members?

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Profile picture for hello1234 @hello1234

@rachel5239
That's all wonderful news!! I am just curious. What immune suppression med did they change to after they saw rejection in your blood work? Did they increase your dosage or actually change medications? I love to hear the details of the success stories! 😊

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I was on 5mg of prednisone and program. They added imuran. I evidently helped because I haven’t had any problems since.

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Profile picture for Rosemary, Volunteer Mentor @rosemarya

@mst123, I'm 16 years post transplant, and have not had a similar experience to your son's current situation. It sounds as if your son is not a Mayo patient and that you are looking to get a second opinion/appointment at Mayo Arizona.
I received my transplant at Mayo Rochester, and I can honestly say that whoever is assigned as your son's doctor will be working alongside a whole department of specialists. At Mayo a patient might be assigned a particular doctor, but this doctor is in comminucation with a whole team of specialists who each is available to share input as a diagnosis or treatment is being considered. So, with that in mind, I am going to suggest that you begin the process of making an appointment: Depending on which device your are logged in on, you will see a blue "Request an Appointment" link. There you can enter as a new patient. a returning patient, or Iif your doctor will make the appointment referral, there is a place for that. You can complete your request on line or scroll down the page for Phone contact information. A coordinator will follow up and help you with your son's possible appointment.

I hope that you have read the messages that others have already shared about their experience. Do you have any questions that you want to ask anyone of these members?

Jump to this post

I also am at Mayo in Rochester. I have never had a doctor that I didn’t like and feel comfortable with. They always listen to my concerns and make the best decision they can. I am also 38 years post transplant.

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Profile picture for rachel5239 @rachel5239

I was on 5mg of prednisone and program. They added imuran. I evidently helped because I haven’t had any problems since.

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That would be Tacrolimus.

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