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[Recurrent hemolytic uremic syndrome (author's transl)]
Monatsschrift Fur Kinderheilkunde
|June 1, 1980
Summary
Hemolytic uremic syndrome (HUS) can recur, even after successful treatment with peritoneal dialysis. This case highlights a child
Area of Science:
- Pediatric Nephrology
- Hematology
- Internal Medicine
Background:
- Hemolytic uremic syndrome (HUS) is a serious condition characterized by renal failure, anemia, and thrombocytopenia.
- Recurrence of HUS, while uncommon, presents unique clinical challenges.
Observation:
- An 8-year-old girl experienced a second episode of HUS 13 months after the initial event.
- Both HUS episodes were managed using peritoneal dialysis.
- Clinical signs included renal failure, severe anemia with fragmented erythrocytes, and thrombocytopenia.
Findings:
- A notable finding was the transient thrombocytosis observed after the initial thrombocytopenia during the HUS episodes.
- The patient recovered fully from both HUS episodes.
- Renal functions remained intact 2.5 years post-second HUS episode.
Implications:
- This case underscores the possibility of HUS recurrence in pediatric patients.
- Peritoneal dialysis can be an effective treatment modality for recurrent HUS.
- Long-term renal function preservation is achievable following HUS recurrence and treatment.