Extra-renal manifestations of atypical hemolytic uremic syndrome.


Journal

Pediatric nephrology (Berlin, Germany)
ISSN: 1432-198X
Titre abrégé: Pediatr Nephrol
Pays: Germany
ID NLM: 8708728

Informations de publication

Date de publication:
08 2019
Historique:
received: 22 03 2018
accepted: 01 08 2018
revised: 31 07 2018
pubmed: 16 8 2018
medline: 6 6 2020
entrez: 16 8 2018
Statut: ppublish

Résumé

Atypical hemolytic uremic syndrome (aHUS) is a rare and complex disease resulting from abnormal alternative complement activation with a wide range of clinical presentations. Extra-renal manifestations of aHUS can involve many organ systems, including the peripheral and central nervous, gastrointestinal, cardiovascular, integumentary, pulmonary, as well as the eye. While some of these extra-renal manifestations occur in the acute phase of aHUS, some can also occur as long-term sequelae of unopposed complement activation. Extra-renal symptoms are observed in approximately 20% of patients with aHUS, with the incidence of specific organ system complications ranging from a few case reports to 50% of described patients. Careful monitoring for extra-renal involvement is critical in patients with aHUS, as prompt evaluation and management may decrease the risk of high morbidity and mortality associated with aHUS.

Identifiants

pubmed: 30109445
doi: 10.1007/s00467-018-4039-7
pii: 10.1007/s00467-018-4039-7
pmc: PMC8627279
mid: NIHMS1503862
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1337-1348

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL090767
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL144539
Pays : United States
Organisme : NIDDK NIH HHS
ID : T32 DK091202
Pays : United States

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Auteurs

Cassandra Formeck (C)

Department of Nephrology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. cassandra.formeck@chp.edu.

Agnieszka Swiatecka-Urban (A)

Department of Nephrology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

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