Simón Polo E, Hernández Laforet J, Carretero de la Encarnación B, Monsalve Naharro JA. Management of atypical uremic hemolytic syndrome in pregnant patient.
REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2022;
69:245-248. [PMID:
35537944 DOI:
10.1016/j.redare.2020.12.008]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 12/14/2020] [Indexed: 06/14/2023]
Abstract
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.
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