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CASE REPORT
Live kidney donation from a person with haemophilia
  1. Christopher McCauley1,
  2. Agnes Masengu2,
  3. Aisling E Courtney2,
  4. Gary Benson3
  1. 1Department of Haematology, Belfast City Hospital, Belfast, UK
  2. 2Regional Nephrology Unit, Belfast City Hospital, Belfast, UK
  3. 3Haemophilia and Thrombosis Centre, Belfast City Hospital, Belfast, UK
  1. Correspondence to Dr Gary Benson, gary.benson{at}belfasttrust.hscni.net

Summary

There are many documented cases of a person with haemophilia successfully receiving a solid organ transplant, including liver and kidney. However, there is no literature reporting live organ donation by a person with haemophilia. Presumably, this is because the associated risks of excessive bleeding, inhibitor development after a period of intensive treatment with factor replacement and the possibility of variant Creutzfeldt-Jakob disease transmission in those previously treated with blood products, are considered excessive. This case describes a 24-year-old man who was diagnosed with mild haemophilia A during his pretransplant work up as a potential live kidney donor to his sister. He then went on to successfully donate his kidney, without complications. To the best of our knowledge, this is the first description of a person with haemophilia being a living organ donor.

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