### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My sister has this lupus ??? blood disorder .She has lost her right kidney and on dialysis with 1/4 of her left kidney .She has had several ports and they have to keep moving it due to blood clots . They put a fistula in her arm its not mature yet so till then she keeps suffering from all these foreign objects in her. now the big Question I have is can she have a kidney transplant with this blood disorder . some doctors are saying the surgery might kill her but then not having her kidneys will too /! Help ???

### output:

Hi, It is really painful to know the situation of your sister. As you have mentioned your sister has Lupus and there is renal problem which require dialysis i.e. end stage renal disease. First we should know what is lupus-It is not just a blood disorder. It is a multi system disorder described as autoimmune / connective tissue disorder. There is involvement of multiple organs in the body (can involve any organ) but most commonly involved organs are kidneys, skin, joints, lungs, blood cell formation (leading to low hemoglobin, bleeding problem, susceptibility to recurrent infections). In end stage lupus nephritis Renal transplantation is very well acceptable treatment with low chances of recurrence in grafted kidney. But for doing renal transplantation many issues come in to picture like-1) Availability of compatible done.2) Surgery is a major surgery which has its own complication and chances of death.3) Debilitated general condition of patient due to lupus multiple organ involvement. So it is better to consult nephrologist and rheumatologist and make decision of renal transplant.