Atypical hemolytic uremic syndrome
DOI:
https://doi.org/10.32818/reccmi.a5n3a2Keywords:
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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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.
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Copyright (c) 2020 Andrés David Villa-García, Camilo Andrés García-Prada, Mario Alejandro Villabón-González, Sandra Marcela Figueroa-Cárdenas, Fernando Iván Meza-Morón
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