I have a friend who had to have a kidney transplant because she had AGI disease. She s been in the hospital since early June. Doctors are saying now that she has TMA. Is there any hope for her. They ve been giving her chemo. Now they re telling her dialysis won t help. I m beside myself. She s turned 40 last week. I don t have the means to pay. I thought this was a free advice site.
Hi, Thanks for writing in. The condition Thrombotic microangiopathy (TMA) is a well-documented but severe complication that occurs after kidney transplant. Treatment of posttransplantation TMA relies on removal of any precipitating factors, relief of symptoms, and PE or plasma infusion. Therapeutic options for posttransplant TMA, including plasma therapy and targeted complement inhibitors can be used to treat those suffering from TMA. With the latest guidelines, there have been patients with TMA who were completely treated at the end of one year with hospitalization and maintenance immune suppression. The response to treatment varies in every patient, and we pray that your friend makes a complete recovery at the earliest.