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December 1, 1969

Transplantation and Renal Oxalates

Author Affiliations

Stanford Medical Center Palo Alto, Calif

JAMA. 1969;210(9):1762. doi:10.1001/jama.1969.03160350074021

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To the Editor:—  In the report entitled "Failure of Renal Transplantation in Primary Oxalosis," (209: 551, 1969), I overlooked that there is a statement which says, "We believe that transplants should not be performed in primary oxalosis." I do not think that this particular case proves this point. At autopsy, there was listed moderate stenosis of the right renal vein at the site of the anastomosis. I do not believe that we can conclude that the loss of the kidney was solely due to the deposit of oxalate crystals within the substance of the kidney alone. It is certainly possible that Dr. Solomons' work on calcium carbimide might save transplants in this condition.