Anyone have antibody mediated rejection years after liver transplant?

Posted by mst123 @mst123, Aug 4, 2025

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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Thank you @rachel5239 😊 it's wonderful (and comforting!) to hear that a small adjustment in your immune suppression meds handled the rejection. Congrats on 38 years and still going strong! I am sure you never expected to deal with rejection after 22 years post transplant, but it turned out to be just a bump in the road. Thanks so much for answering my questions about your rejection experience with a very positive outcome.

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Profile picture for rachel5239 @rachel5239

That would be Tacrolimus.

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Thanks Rachel.
Do you know if yours was antibody-mediated rejection, or the cell mediated rejection?

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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?

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Thanks, Rosemary. Your note has been very helpful!

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Profile picture for mst123 @mst123

Thanks Rachel.
Do you know if yours was antibody-mediated rejection, or the cell mediated rejection?

Sent from AT&T Yahoo Mail on Android

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They told me my prograf levels got too low. No idea how that happened. I had an autoimmune chronic liver disease. They told me my disease was back. It was pretty scary. They ended up adding one more medication and I haven’t had any trouble since. I am 38 years post transplant and I can’t complain about how I feel. I am now 73 years old. Happy I have made it this far but can’t help thinking how much longer can this go on??

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