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SPONTANEOUS REMISSION OF NEPHROTIC SYNDROME IN HUS-TTP

Year 2003, Volume: 16 Issue: 1, 45 - 48, 03.12.2016

Abstract

We report a three-year-old girl with thrombotic microangiopathy, severe encephalopathy and nephrotic syndrome. She presented with encephalopathy, oliguria and edema with laboratory findings of thrombocytopenia, anemia, heavy proteinuria, and elevated liver enzymes and blood urea nitrogen. The encephalopathy lasted for 7 days where as the nephrotic syndrome lasted for over a month. Hemolytic uremic syndrome (HUS) - thrombotic thrombocytopenic purpura (TTP) with severe neurological involvement and nephrotic syndrome that improved without any sequelae was discussed.
Key Words: HUS-TTP, Encephalopathy,
Central nervous system involvement, Nephrotic syndrome

References

  • Remuzzi Q, Ruggenenti P. The hemolytic uremic syndrome. Kidney Int 1995;48:2-19.
  • Bale JF, Brasher C, Siegler RL. CHS
  • manifestations of the hemolytic uremic syndrome: relationship to metabolic
  • alterations and prognosis. Am J Dis Child 1980;134:869-872.
  • Sheth KJ, Swick It FI, Haworth H. neurological involvement in hemolytic-uremic syndrome. Ann Heurol 1986; 19:90-93.
  • Milford DV, White RHR, Taylor CM. Prognostic
  • significance of proteinuria one year after diarrhea-associated hemolytic-uremic
  • syndrome. J Pediatr 1991; 118:191-194.
  • Jha V, Murthy MS, Kohli HS, et al. Secondary
  • membranoproliferative glomerulonephritis due to hemolytic uremic syndrome: an unusual presentation. Ren Fail 1998:20:845-850.
  • Fi mura Fl, Fujigaki Y, Ohtake T, Furuya R, FUshida A, Raneko E. A patient with thrombotic microangiopathy accompanied by glomerular subendothelial electron dense deposits. Am J Hephrol 1998; 18:155-159.
  • Moghal HE, Ferreira MA, Howie AJ, Milford DV, Raafat F, Taylor CM. The late histologic findings in diarrhea-associated hemolytic uremic syndrome. J Pediatr 1998; 133:220-223.
  • Barnett HDP, Raplan AM, Bernes SM, Cohen ML. Hemolytic uremic syndrome with particular involvement of basal ganglia and favorable outcome. Pediatr Heurol 1995,12:155-158.
  • Morita S, Sakai T, Okamoto H, et al. Hemolytic uremic syndrome associated with immunoglobulin A nephropathy: A case report and review of cases of hemolytic uremic syndrome with glomerular disease. Inter Med 1999;38:495-499.
  • O'regan S, Chesney RW, Kaplan BS, Drummond KH. Red cell membrane phospholipid abnormalities in the hemolytic uremic syndrome. Clin fiephrol 1981 ; 15:14- 17.
  • Pedreza Chaverri J, Arevalo AE, Hernandez Pando R, Larriva Sahd J. Effect of dietary antioxidants on puromycin aminonucleoside nephrotic syndrome. Int J Biochem Cell Biol 1995;27:683-691.
Year 2003, Volume: 16 Issue: 1, 45 - 48, 03.12.2016

Abstract

References

  • Remuzzi Q, Ruggenenti P. The hemolytic uremic syndrome. Kidney Int 1995;48:2-19.
  • Bale JF, Brasher C, Siegler RL. CHS
  • manifestations of the hemolytic uremic syndrome: relationship to metabolic
  • alterations and prognosis. Am J Dis Child 1980;134:869-872.
  • Sheth KJ, Swick It FI, Haworth H. neurological involvement in hemolytic-uremic syndrome. Ann Heurol 1986; 19:90-93.
  • Milford DV, White RHR, Taylor CM. Prognostic
  • significance of proteinuria one year after diarrhea-associated hemolytic-uremic
  • syndrome. J Pediatr 1991; 118:191-194.
  • Jha V, Murthy MS, Kohli HS, et al. Secondary
  • membranoproliferative glomerulonephritis due to hemolytic uremic syndrome: an unusual presentation. Ren Fail 1998:20:845-850.
  • Fi mura Fl, Fujigaki Y, Ohtake T, Furuya R, FUshida A, Raneko E. A patient with thrombotic microangiopathy accompanied by glomerular subendothelial electron dense deposits. Am J Hephrol 1998; 18:155-159.
  • Moghal HE, Ferreira MA, Howie AJ, Milford DV, Raafat F, Taylor CM. The late histologic findings in diarrhea-associated hemolytic uremic syndrome. J Pediatr 1998; 133:220-223.
  • Barnett HDP, Raplan AM, Bernes SM, Cohen ML. Hemolytic uremic syndrome with particular involvement of basal ganglia and favorable outcome. Pediatr Heurol 1995,12:155-158.
  • Morita S, Sakai T, Okamoto H, et al. Hemolytic uremic syndrome associated with immunoglobulin A nephropathy: A case report and review of cases of hemolytic uremic syndrome with glomerular disease. Inter Med 1999;38:495-499.
  • O'regan S, Chesney RW, Kaplan BS, Drummond KH. Red cell membrane phospholipid abnormalities in the hemolytic uremic syndrome. Clin fiephrol 1981 ; 15:14- 17.
  • Pedreza Chaverri J, Arevalo AE, Hernandez Pando R, Larriva Sahd J. Effect of dietary antioxidants on puromycin aminonucleoside nephrotic syndrome. Int J Biochem Cell Biol 1995;27:683-691.
There are 16 citations in total.

Details

Journal Section Case Reports
Authors

Neşe Karaaslan Bıyıklı This is me

Harika Alpay This is me

Yüksel Yılmaz This is me

İşıl Barlan This is me

Publication Date December 3, 2016
Published in Issue Year 2003 Volume: 16 Issue: 1

Cite

APA Karaaslan Bıyıklı, N., Alpay, H., Yılmaz, Y., Barlan, İ. (2016). SPONTANEOUS REMISSION OF NEPHROTIC SYNDROME IN HUS-TTP. Marmara Medical Journal, 16(1), 45-48.
AMA Karaaslan Bıyıklı N, Alpay H, Yılmaz Y, Barlan İ. SPONTANEOUS REMISSION OF NEPHROTIC SYNDROME IN HUS-TTP. Marmara Med J. March 2016;16(1):45-48.
Chicago Karaaslan Bıyıklı, Neşe, Harika Alpay, Yüksel Yılmaz, and İşıl Barlan. “SPONTANEOUS REMISSION OF NEPHROTIC SYNDROME IN HUS-TTP”. Marmara Medical Journal 16, no. 1 (March 2016): 45-48.
EndNote Karaaslan Bıyıklı N, Alpay H, Yılmaz Y, Barlan İ (March 1, 2016) SPONTANEOUS REMISSION OF NEPHROTIC SYNDROME IN HUS-TTP. Marmara Medical Journal 16 1 45–48.
IEEE N. Karaaslan Bıyıklı, H. Alpay, Y. Yılmaz, and İ. Barlan, “SPONTANEOUS REMISSION OF NEPHROTIC SYNDROME IN HUS-TTP”, Marmara Med J, vol. 16, no. 1, pp. 45–48, 2016.
ISNAD Karaaslan Bıyıklı, Neşe et al. “SPONTANEOUS REMISSION OF NEPHROTIC SYNDROME IN HUS-TTP”. Marmara Medical Journal 16/1 (March 2016), 45-48.
JAMA Karaaslan Bıyıklı N, Alpay H, Yılmaz Y, Barlan İ. SPONTANEOUS REMISSION OF NEPHROTIC SYNDROME IN HUS-TTP. Marmara Med J. 2016;16:45–48.
MLA Karaaslan Bıyıklı, Neşe et al. “SPONTANEOUS REMISSION OF NEPHROTIC SYNDROME IN HUS-TTP”. Marmara Medical Journal, vol. 16, no. 1, 2016, pp. 45-48.
Vancouver Karaaslan Bıyıklı N, Alpay H, Yılmaz Y, Barlan İ. SPONTANEOUS REMISSION OF NEPHROTIC SYNDROME IN HUS-TTP. Marmara Med J. 2016;16(1):45-8.