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2010, Number 4

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Med Sur 2010; 17 (4)

Síndrome hemolítico urémico

García A, Garcilazo Y, Bahena A, Rojas C, Rodríguez C
Full text How to cite this article

Language: Spanish
References: 10
Page: 190-192
PDF size: 31.15 Kb.


Key words:

Thrombocytopenia, Anemia, Kidney failure.

ABSTRACT

Hemolytic uremic syndrome (HUS) is an acute syndrome with abnormalities in multiple organ systems. The presenting features are essentially the same in most patients, beginning with thrombocytopenia and microangiopathic hemolytic anemia without another apparent cause; in addition, many patients have neurologic and/or renal abnormalities, with an incidence of 4.5 cases/million per year. We present a case of a 52 year old male presented to the emergency department for eight days with malaise, fatigue, weakness, anorexia, three days before admission nonspecific abdominal pain, hematemesis and vomiting of gastric content; the day of admission shows drowsiness, disorientation, dyslalia and bradylalia. The presence of microangiopathic hemolytic anemia and thrombocytopenia without other findings suggest HUS in adult patients.


REFERENCES

  1. Noris M, Remuzzi G. Hemolytic uremic syndrome. J Am Soc Nephrol 2005; 16: 1035-50.

  2. Repetto HA. Epidemic hemolytic uremic syndrome in children. Kidney Int 1997; 52: 1708-19.

  3. Bone RC, Henry JE, Petterson J, Amare M. Respiratory dysfunction in thrombotic thrombocytopenic purpura. Amer J Med 1978; 65: 262-70.

  4. Jackson B, Files JC, Morrison FS, Scott-Conner CEH. Thrombotic thrombocytopenic purpura and pancreatitis. Amer J Gastroenterol 1989; 84: 667-9.

  5. Alvarez MA, Rojas R, Velasco F, Torres A. Resolution of hemolytic- uremic syndrome complicating acute pancreatitis after surgery. J Clin Gastroenterol 1991; 13: 118-9.

  6. Garcia-Cano J, Vazquez Rodriguez de Alba J. Pancreatitis aguda en el seno de la purpura thrombocitopenica thrombotica. Ann Med Interna 1992; 9: 551-3.

  7. Silva VA. Thrombotic thrombocytopenic purpura/hemolytic uremic syndrome secondary to pancreatitis. Amer J Hematol 1995; 50: 53-6.

  8. Aaron L, Bellaiche G, Coulon A, Lusina D, Nouts A, Ley G, et al. Pancréatite aiguë bilaire compliquee d’un syndrome hémolytique et urémique. Gastroenterol Clin Biol 1997; 21: 1003-4.

  9. Daryanani S, Wilde JT. Relapsing thrombotic thrombocytopenic purpura in association with recurrent pancreatitis. Clin Lab Haematol 1998; 20: 317-8.

  10. Holt A, Cochran M, Thomas T. Haemolytic uraemic syndrome with acute edematous pancreatitis. Australian N Z J Med 1998; 28: 69.




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C?MO CITAR (Vancouver)

Med Sur. 2010;17