首页|Misidentification of epithelial renal tubular cells as decoy cells in the urinary sediment of a kidney transplant recipient: the importance of adequate clinical information

Misidentification of epithelial renal tubular cells as decoy cells in the urinary sediment of a kidney transplant recipient: the importance of adequate clinical information

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? 2022 Elsevier B.V.The examination of the urinary sediment of a kidney transplant recipient, carried out in blind conditions, showed the presence of a moderate number of cells which were identified as decoy cells. Most frequently these cells are a marker of BK polyomavirus reactivation, which can lead to BK virus nephropathy and graft loss. However, the patient's clinical history, the absence of BK viremia, and the renal biopsy findings excluded this condition. The careful examination of the renal biopsy demonstrated a severe tubular damage with cells resembling those identified in the urine as decoy cells. This paper is the first which demonstrates that damaged renal tubular epithelial cells can be misidentified as decoy cells. In addition, it highlights the importance of supplying adequate clinical information for a correct urinary sediment examination.

BK polyomavirusDecoy cellsKidney transplantRenal tubular epithelial cellsUrinary sediment

Malvica S.、Mateus C.、Garigali G.、Castellano G.、Fogazzi G.B.

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Clinical and Research Laboratory on Urinary Sediment UOC Nefrologia Dialisi e Trapianto di Rene

Servi?o de Nefrologia Hospital de Santa Cruz Centro Hospitalar Lisboa Ocidental

Department of Clinical Sciences and Community Health University of Milan Milano Italy. UOC

2022

Clinica chimica acta

Clinica chimica acta

ISTP
ISSN:0009-8981
年,卷(期):2022.531
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