[Differential diagnosis of rejection and cyclosporin nephrotoxicity in organ transplantation using exfoliative urinary cytology].

Although the successful results sealing with Cyclosporin therapy in organ transplantation, side effects such as nephrotoxicity due to drug administration, are still partially solved especially concerning differential diagnosis versus rejection in kidney allograft. On this basis the authors evaluated the application of urinary exfoliative cytology for the monitoring of 110 patients who underwent kidney transplant under Cyclosporin regimen. Among them 33 cases showed direct and/or indirect cytopathic signs of nephrotoxicity induced by Cyclosporin, never observed on over 6000 urinary specimens of renal graphed patients treated with conventional therapy. The authors conclude that urinary exfoliative cytology is a useful, safe and easily repeatable method for the differential diagnosis between rejection and Cyclosporin nephrotoxicity at early stage in kidney transplantation.