This team will promote Asian collaborative studies concerning these important issues in the nephrology community. It is not yet clear whether creation of a common equation for estimated GFR in Asians can be achieved, but the first step of the collaboration is quite successful. Once a common eGFR equation is established

in the future, IDMS-traceable creatinine assay is important to establish the comparable eGFR values. Establishment of a mutual cooperation network among Asian countries is strongly needed to promote the project to overcome CKD, a life-threatening disease for humans. Y-27632 in vivo “
“A patient with known steroid-dependent rheumatoid arthritis (RA) developed an acute symmetrical polyarthropathy of small and medium-sized joints associated with markedly elevated inflammatory markers suggestive of RA flare, on day 4

after deceased-donor renal transplantation. Crizotinib mouse The patient received standard induction immunosuppression with methylprednisolone and basiliximab, and had commenced prednisolone, tacrolimus and mycophenolate mofetil. Serological investigations and joint aspirate to exclude infective causes and crystal arthropathy were unremarkable. High-dose prednisolone (50 mg daily) resulted in partial but unsustained symptomatic improvement. On suspicion of a medication-related adverse event, tacrolimus and mycophenolate mofetil were changed to cyclosporine A and azathioprine on day 16. This was followed by rapid improvement in symptoms and normalization of inflammatory markers. Unexpected sequelae

in the early post-transplantation period create diagnostic and management challenges. Medication-related adverse events are not uncommon, and we speculate in this case on the potential for medication-induced immune system dysregulation stimulating disease activity in a Amino acid chronic autoimmune condition after introduction of new immunosuppressants. A 63-year-old male underwent deceased donor renal transplantation in May 2012. His past medical history included end stage kidney disease and haemodialysis since 2009 from post-infectious glomerulonephritis in the setting of polyarticular septic arthritis (Staphylococcus aureus) and a solitary kidney. Other relevant history included stable ischaemic heart disease, atrial fibrillation, type 2 diabetes, nephrectomy (renal cell cancer) in 1988, osteoporosis and rheumatoid arthritis (RA). The RA was diagnosed at age 28, and managed with methotrexate and prednisolone until the patient commenced haemodialysis. Methotrexate was then ceased and prednisolone continued at a minimum of 15 mg daily. Despite relatively quiescent disease he had significant joint deformity, joint destruction and bony erosions. The patient either did not tolerate or declined other disease-modifying agents such as hydroxychloroquine and had not received biologics. Deceased-donor renal transplantation was uncomplicated.