GIANT BILATERAL RENAL ANGIOMYOLIPOMAS AND LYMPHANGIOLEIOMYOMATOSIS PRESENTING AFTER TWO SUCCESSIVE PREGNANCIES SUCCESSFULLY TREATED WITH SURGERY AND RAPAMYCIN

Giant Bilateral Renal Angiomyolipomas and Lymphangioleiomyomatosis Presenting after Two Successive Pregnancies Successfully Treated with Surgery and Rapamycin

Giant Bilateral Renal Angiomyolipomas and Lymphangioleiomyomatosis Presenting after Two Successive Pregnancies Successfully Treated with Surgery and Rapamycin

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We report the case of a 25-year-old woman who presented with abdominal and flank pain with two successive pregnancies and was diagnosed Cytotoxic Immune Response to a Xenogeneic Bioartificial Liver of giant bilateral renal AMLs and pulmonary LAM associated with TSC in the post-partum of her second pregnancy.This case illustrates that in women with TSC rapid growth from renal AMLs and development of LAM may occur with Evolution of psychological distress with age and its determinants in later life: evidence from 17-wave social survey data in Japan successive pregnancies.It also stresses the potential for preservation of renal function despite successive bilateral renal surgery of giant AMLs.Moreover, the treatment with a low-dose rapamycin may be an option for LAM treatment.Finally, a low-dose rapamycin may be considered as an adjuvant treatment together to kidney-sparing conservative surgery for renal AMLs.

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