The Mount Sinai Journal of Medicine

 

Volume 73 Number 8
December 2006
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Pediatric Organ Transplant Patients and Long-Term Care: A Review 1148-1155
Eva Waite, M.D., and Danielle Laraque, M.D.

Division of General Pediatrics, Department of Pediatrics, Mount Sinai School of Medicine, New York, NY.

Address all correspondence to Eva Waite, M.D., Department of Pediatrics, Box 1110, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029-6574; e-mail eva.waite@mountsinai.org

Abstract

We review the role of the academic generalist in the care of the child or adolescent who has undergone an organ transplant. This care is seen within the context of the “medical home” and the special considerations for pediatric patients. These special considerations include growth and development, psychosocial adjustment, cardiac and renal complications, endocrine problems, medication management and regimen adherence, infectious complications, vaccination, post-transplant malignancies, post-transplant lymphoproliferative disorders, acute post-transplant complications, recurrence, contraception and pregnancy for adolescents, and transition to adulthood. Research needs in this complex area are highlighted.

Key Words

Organ transplantation, pediatrics


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