Liver Transplantation in HIV-Seropositive Individuals

  1. Ronald L. Koretz, MD; and
  2. Timothy O. Lipman, MD
  1. From Olive View–University of California Los Angeles Medical Center, Sylmar, CA 91342, and Veterans Affairs Medical Center, Washington, DC 20422.

    IN RESPONSE:

    We thank Dr. Ragni and colleagues for clarifying the prospective nature of their study (1). This was not apparent to us from their Methods section, which stated that “24 subjects with HIV infection and [end-stage liver disease] who fulfilled standard listing criteria for liver transplantation underwent [orthotopic liver transplantation] at 5 institutions.”

    Dr. Ragni and colleagues state that there were no differences between the MELD scores of their patients and those of the patients who were HIV-seronegative. However, in the accompanying editorial (2), Dr. Fishman …

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