Atypical hemolytic uremic syndrome

Authors

  • Andrés David Villa-García Servicio de Medicina Crítica y Cuidado Intensivo. Hospital San José. Fundación Universitaria de Ciencias de la Salud, Bogotá DC. Colombia
  • Camilo Andrés García-Prada Servicio de Medicina Interna. Universidad de Antioquia, Medellín. Colombia https://orcid.org/0000-0003-0407-3330
  • Mario Alejandro Villabón-González Servicio de Medicina Crítica y Cuidado Intensivo. Hospital San José. Fundación Universitaria de Ciencias de la Salud, Bogotá DC. Colombia
  • Sandra Marcela Figueroa-Cárdenas Servicio de Urgencias. Universidad del Magdalena. Santa Marta. Colombia
  • Fernando Iván Meza-Morón Servicio de Medicina Crítica y Cuidado Intensivo. Clínica Buenos Aires SAS, Valledupar. Colombia

DOI:

https://doi.org/10.32818/reccmi.a5n3a2

Keywords:

uremic syndrome, eculizumab, plasmapheresis, thrombotic microangiopathy.

Abstract

Atypical Hemolytic Uremic Syndrome is a very rare, rapidly progressive, high morbidity and mortality illness, especially when it is not recognized and treated. This subtype is classified in primary and secondary. It is characterized by the triad of microangiopathic haemolytic anemia, thrombocytopenia, and renal failure; however, this clinical case occurring mainly with extrarenal clinical manifestations, especially of neurological origin and an uncontrolled pregnancy recent history; other differential diagnoses were excluded. Furthermore were started medical treatment with plasmapheresis and eculi- zumab, achieving clinical radiological, and blood test improvement.

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References

Córdoba JP, Contreras KM, Larrarte C, Espitaleta Z, González LE, Ibarra M, et al. Síndrome hemolítico urémico atípico, revisión de la literatura y documento de consenso. Enfoque diagnóstico y tratamiento. Rev. Colomb. Nefrol. 2015; 2(1): 19-0. Disponible en: https://revistanefrologia.org/index.php/rcn/article/view/199.

Camargo Assis F, Ortiz Ruiz G, Garay Fernández M, Córdoba JP, Yepes D, González M, et al. Microangiopatías trombóticas en la unidad de cuidados intensivos. Acta Colombiana de Cuidado Intensivo. 2017; 17(2): 117-128. doi: https://doi.org/10.1016/j.acci.2017.02.003.

Huerta A, Arjona E, Portoles J, Lopez-Sanchez P, Rabasco C, Espinosa M, et al. A retrospective study of pregnancy-associated atypical hemolytic uremic syndrome. Kidney Int. 2018; 93(2): 450-459. doi: https://doi.org/10.1016/j.kint.2017.06.022.

Fakhouri F, Fila M, Provôt F, Delmas Y, Barbet C, Châtelet V, et al. Pathogenic Variants in Complement Genes and Risk of Atypical Hemolytic Uremic Syndrome Relapse after Eculizumab Discontinuation. Clin J Am Soc Nephrol. 2017; 12(1): 50-59. doi: https://doi.org/10.2215/CJN.06440616.

Campistol JM, Arias M, Ariceta G, Blasco M, Espinosa L, Espinosa M, et al. An update for atypical haemolytic uraemic syndrome: diagnosis and treatment. A consensus document. Nefrologia. 2015;35(5):421-47. doi: https://doi.org/10.1016/j.nefro.2015.07.005.

Müller-Calleja N, Ritter S, Hollerbach A, Falter T, Lackner KJ, Ruf W. Complement C5 but not C3 is expendable for tissue factor activation by cofactor-independent antiphospholipid antibodies. Blood Adv. 2018; 2(9): 979-986. doi: https://doi.org/10.1182/bloodadvances.2018017095.

Published

2020-12-31

How to Cite

1.
Villa-García AD, García-Prada CA, Villabón-González MA, Figueroa-Cárdenas SM, Meza-Morón FI. Atypical hemolytic uremic syndrome. Rev Esp Casos Clin Med Intern [Internet]. 2020 Dec. 31 [cited 2024 Dec. 22];5(3):105-8. Available from: https://www.reccmi.com/RECCMI/article/view/555