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Correspondence
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Volume 347:1801-1803 November 28, 2002 Number 22
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Organ Transplantation in HIV-Infected Patients

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 by Halpern, S. D.
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To the Editor: Halpern et al. (July 25 issue)1 provided a compelling ethical rationale for pursuing transplantation in patients infected with the human immunodeficiency virus (HIV). Unfortunately, I believe they missed the point about why patients with HIV infection do not routinely undergo transplantation. We do not know how to do it. What immunosuppressive therapy should be used? What are the interactions of the immunosuppressive agents with the antiviral agents? What effect will immunosuppression have on the activity of HIV?

Rather than have 100 kidney centers each invent the wheel, several large centers with active involvement of infectious-disease specialists should . . . [Full Text of this Article]


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