CASE REPORT |
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Year : 2017 | Volume
: 4
| Issue : 2 | Page : 63-66 |
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Pregnancy-associated atypical hemolytic uremic syndrome: A case report and literature review
Yu Qiang Chen, Qin Xue, Nian Song Wang
Department of Nephrology, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China
Correspondence Address:
Nian Song Wang Department of Nephrology, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, 600 Yishan Road, Shanghai 200233 China
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2394-2916.208577
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Atypical hemolytic uremic syndrome (aHUS) is a rare disease of uncontrolled alternative pathway complement activation and pregnancy-associated aHUS (P-aHUS) is a more rare but life-threatening disorder. Besides gene screening, ADAMTS-13 detection and renal biopsy is helpful to establish diagnosis and prognosis assessment when kidney is involved. Combined liver-kidney transplant and eculizumab therapy has generally been the initial approach to this disease management besides therapeutic plasma exchange and plasma infusion. Though transplant and eculizumab therapy may be more effective than traditional therapy, it is much more expensive and not easily available. Herein we report a case of P-aHUS and our case indicates that plasma exchange and hemodialysis may be effective to P-aHUS for those not suitable/available for eculizumab treatment or transplant. |
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