文章基本信息

标题：Management of hemolytic uremic syndrome
本地全文：下载
作者：David Kavanagh ; Shreya Raman ; Neil S. Sheerin 等
期刊名称：F1000 Biology Reports
电子版ISSN：2051-7599
出版年度：2014
卷号：6
DOI：10.12703/P6-119
语种：English
出版社：Faculty of 1000 Ltd
摘要：Hemolytic uremic syndrome (HUS) is a disease characterized by hemolysis, thrombocytopenia, and acute kidney injury, although other organs may be involved. Most cases are due to infection with Shiga toxin-producing Escherichia coli (STEC). Early identification and initiation of best supportive care, with microbiological input to identify the pathogen, result in a favorable outcome in most patients. The remaining 10% of HUS cases are classed together as atypical HUS and have a diverse etiology. The majority are due to inherited or acquired abnormalities that lead to a failure to control complement activation. Atypical HUS occurring in other situations (for example, related to pregnancy or kidney transplantation) may also involve excessive complement activation. Plasma therapies can reverse defective complement control, and it is now possible to specifically target complement activation. This has led to improved outcomes in patients with atypical forms of HUS. We will review our current understanding of the pathogenesis of HUS and how this has led to advances in patient care.