Q:

The presence of donor-reactive lymphocytotoxic antibodies in the serum of a potential kidney transplant recipient:

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The presence of donor-reactive lymphocytotoxic antibodies in the serum of a potential kidney transplant recipient:


  1. Can be detected by in vitro testing with recipient leukocytes and donor serum.
  2. Is a contraindication to kidney transplantation.
  3. Can be found in all male patients older than 20 years.

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B. Is a contraindication to kidney transplantation.

DISCUSSION: The presence of donor-reactive antibodies, detected by incubation of the recipient's serum with donor lymphocytes in the presence of complement, results in a “positive crossmatch,” and is a contraindication to renal transplantation. They occur as a result of pregnancy, blood transfusions, or previous organ transplants.

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