18 of 49 pediatric renal transplant recipients, all of whom were on continual steroid and immunosuppressive treatment, were found to have warts. Although all 18 patients received treatment for this problem, only 5 had the warts successfully eradicated. The frequency of warts among transplant patients is three times that of the general childhood population and twice that of a group of nephrotic pediatric patients who received immunosuppressive therapy. We propose that drug-induced suppression of cell-mediated, and to a lesser extent, humoral immunity, may predispose people to develop warts.

No abstract

This paper presents a commonly known event which is uncommonly practiced consisting of a meeting of all personnel involved in the care of renal transplant patients meeting together once a week. The purpose is to coordinate and facilitate the total care of these patients. The discussions involve the medical, social, psychological, and financial aspects of the lives of these patients as well as the functioning of the service. Information and suggestions can be exchanged and policy, additional care, and changes in management can be effected. Such meetings promote increased knowledge of the patient and improved functioning of the service team. The patient's care and staff morale are improved. It would seem that the institution of such service meetings provides a significant advance in total patient care.