Management of atypical uremic hemolytic syndrome in pregnant patient.

Manejo de síndrome hemolítico urémico atípico en la paciente gestante.
Embarazo Haemolytic uremic síndrome Microangiopatía trombótica Pregnancy Síndrome hemolítico urémico Trombotic microangiopathy

Journal

Revista espanola de anestesiologia y reanimacion
ISSN: 2341-1929
Titre abrégé: Rev Esp Anestesiol Reanim (Engl Ed)
Pays: Spain
ID NLM: 101778594

Informations de publication

Date de publication:
21 May 2021
Historique:
received: 15 05 2020
revised: 11 12 2020
accepted: 14 12 2020
entrez: 25 5 2021
pubmed: 26 5 2021
medline: 26 5 2021
Statut: aheadofprint

Résumé

Atypical uremic haemolytic syndrome is a variant of thrombotic micro-andiopathy characterized by non-autoimmune hemolytic anemia, thrombocytopenia and acute renal failure as a result of excessive activation of the complement. Up to 60% of patients have mutations in the genes that encode the complement system. A disensing factor is required for its manifestation, including gestation. It is an entity with a high morbidity, which can decrease drastically if an early diagnosis is made and appropriate treatment is initiated. Administration of ecuilizumab has demonstrated rapid process disruption, reducing the need for extrarenal purification therapies and improving renal function and patient prognosis.

Identifiants

pubmed: 34030878
pii: S0034-9356(21)00057-8
doi: 10.1016/j.redar.2020.12.012
pii:
doi:

Types de publication

Case Reports

Langues

eng spa

Informations de copyright

Publicado por Elsevier España, S.L.U.

Auteurs

E Simón Polo (E)

Anestesiología y Reanimación, Complejo Hospitalario Universitario de Albacete, Albacete, España. Electronic address: elsimhz@hotmail.com.

J Hernández Laforet (J)

Anestesiología y Reanimación, Hospital General Universitario de Valencia, Valencia, España.

B Carretero de la Encarnación (B)

Anestesiología y Reanimación, Complejo Hospitalario Universitario de Albacete, Albacete, España.

J A Monsalve Naharro (JA)

Anestesiología y Reanimación, Complejo Hospitalario Universitario de Albacete, Albacete, España.

Classifications MeSH